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General NPI Number Information
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NPI Number | 1083428304
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Entity Type | Organization
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Legal Business Name | SAMSON HEALTHCARE, LLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 3421 W DAVIS ST STE 150
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City | CONROE
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State | TX
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Zip | 77304-1848
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Country | US
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Telephone | 936-339-2373
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Fax | 936-249-0318
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Provider Business Mailing Address
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Address Line | 2605 WOODS ESTATES DR
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City | CONROE
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State | TX
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Zip | 77304-4873
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Country | US
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Telephone | 936-339-2373
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Fax | 936-249-0318
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. ALEKSANDAR BOGDANOVIC
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Credential | RN
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Telephone | 310-987-0863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number |
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License Number State | NULL
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