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General NPI Number Information
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NPI Number | 1194079814
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Entity Type | Organization
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Legal Business Name | PEGASUS HOSPICE LLC
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1305 DOCTORS DR
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City | TYLER
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State | TX
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Zip | 75701-2263
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Country | US
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Telephone | 903-630-1001
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Fax | 214-260-0757
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Provider Business Mailing Address
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Address Line | 1616 GATEWAY BLVD
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City | RICHARDSON
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State | TX
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Zip | 75080-3529
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Country | US
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Telephone | 214-267-1800
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Fax | 214-260-0757
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ARACELY DOBBINS
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Credential | RN
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Telephone | 903-630-1001
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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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