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General NPI Number Information
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NPI Number | 1205481314
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Entity Type | Organization
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Legal Business Name | PEACE VALLEY HOSPICE INC
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 03/14/2021
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Provider Practice Location Address
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Address Line | 4541 N JOSEY LN STE 110
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City | CARROLLTON
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State | TX
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Zip | 75010-4622
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Country | US
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Telephone | 979-358-0435
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Fax |
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Provider Business Mailing Address
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Address Line | 4541 N JOSEY LN STE 110
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City | CARROLLTON
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State | TX
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Zip | 75010-4622
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | ALICE ABRAHAM
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Credential |
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Telephone | 972-639-7956
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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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