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General NPI Number Information
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NPI Number | 1124745708
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Entity Type | Organization
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Legal Business Name | PRIME CHOICE HOSPICE & PALLIATIVE CARE LLC
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 6430 RICHMOND AVE STE 250-06
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City | HOUSTON
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State | TX
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Zip | 77057-5917
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Country | US
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Telephone | 832-622-6418
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Fax |
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Provider Business Mailing Address
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Address Line | 27611 FLEETWOOD BEND LN
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City | KATY
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State | TX
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Zip | 77494-7641
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Country | US
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Telephone | 832-729-5637
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Fax | 713-583-2518
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ADETUNJI O AKINYINKA
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Credential |
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Telephone | 832-622-6418
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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 |
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