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General NPI Number Information
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NPI Number | 1174996227
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Entity Type | Organization
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Legal Business Name | MILLENNIUM HOSPICE AGENCY, LLC
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 25325 BOROUGH PARK DRIVE SUITE #108
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City | SPRING
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State | TX
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Zip | 77380
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Country | US
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Telephone | 281-681-4035
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Fax | 281-681-4036
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Provider Business Mailing Address
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Address Line | 25325 BOROUGH PARK DRIVE SUITE #108
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City | SPRING
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State | TX
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Zip | 77380
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Country | US
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Telephone | 281-681-4035
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Fax | 281-681-4036
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Authorized Official
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Title or Position | ALT. ADMINISTRATOR
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Name | MR. FELIX CANABAL
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Credential |
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Telephone | 281-681-4035
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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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