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General NPI Number Information
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NPI Number | 1225213820
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Entity Type | Organization
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Legal Business Name | ALPHA HOSPICE, LLC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2760 WASHINGTON DR STE 100A
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City | NORMAN
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State | OK
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Zip | 73069-1009
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Country | US
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Telephone | 405-928-9885
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Fax | 888-900-7220
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Provider Business Mailing Address
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Address Line | 6760 OLD JACKSONVILLE HWY STE 101
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City | TYLER
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State | TX
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Zip | 75703-0566
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Country | US
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Telephone | 903-363-9932
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Fax | 817-326-2436
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF COMPLIANCE
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Name | MRS. KATIE SANDLIN
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Credential |
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Telephone | 903-714-3439
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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 | 4167
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License Number State | OK
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