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General NPI Number Information
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NPI Number | 1134157209
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Entity Type | Organization
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Legal Business Name | LEGACY OF LOVE HOSPICE, INC.
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 4409 71ST ST
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City | LUBBOCK
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State | TX
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Zip | 79424-2327
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Country | US
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Telephone | 806-370-2100
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Fax | 806-370-2100
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Provider Business Mailing Address
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Address Line | 4409 71ST ST
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City | LUBBOCK
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State | TX
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Zip | 79424-2327
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Country | US
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Telephone | 806-370-2100
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Fax | 806-370-2100
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VELMA MOUSAVI
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Credential | RN
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Telephone | 806-370-2100
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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 | 671515
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License Number State | TX
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