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General NPI Number Information
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NPI Number | 1184151037
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Entity Type | Organization
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Legal Business Name | ICARE HOSPICE, LLC
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 2855 MANGUM RD STE 401
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City | HOUSTON
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State | TX
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Zip | 77092-7486
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Country | US
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Telephone | 832-566-8280
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 MANGUM RD STE 401
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City | HOUSTON
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State | TX
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Zip | 77092-7486
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Country | US
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Telephone | 832-566-8280
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HARLEY TUBLE
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Credential | RN
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Telephone | 832-372-0447
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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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