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General NPI Number Information
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NPI Number | 1154812063
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Entity Type | Organization
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Legal Business Name | BRAESWOOD PALLIATIVE CARE HOSPICE LLC
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 8700 COMMERCE PARK DR STE 208
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City | HOUSTON
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State | TX
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Zip | 77036-7497
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Country | US
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Telephone | 832-578-9852
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Fax |
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Provider Business Mailing Address
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Address Line | 8100 CREEKBEND DR
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City | HOUSTON
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State | TX
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Zip | 77071-1537
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Country | US
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Telephone | 832-578-9852
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MERCY JOSEPH
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Credential |
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Telephone | 832-526-4822
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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 | TX
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