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General NPI Number Information
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NPI Number | 1134392897
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Entity Type | Organization
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Legal Business Name | WOODHAVEN HOSPICE, INC.
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 500 S MAGNOLIA DR
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City | CONROE
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State | TX
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Zip | 77301-6260
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Country | US
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Telephone | 936-539-5885
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Fax |
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Provider Business Mailing Address
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Address Line | 500 S MAGNOLIA DR
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City | CONROE
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State | TX
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Zip | 77301-6260
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Country | US
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Telephone | 936-539-5885
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAULA LOUISE WOOD
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Credential |
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Telephone | 936-539-5885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | PENDING
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License Number State | TX
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