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General NPI Number Information
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NPI Number | 1235581018
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Entity Type | Organization
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Legal Business Name | CGC HOSPICE, INC
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 10935 ESTATE LN SUITE S 400 A
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City | DALLAS
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State | TX
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Zip | 75238-2316
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Country | US
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Telephone | 469-730-4882
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Fax | 214-853-4279
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Provider Business Mailing Address
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Address Line | 10935 ESTATE LN SUITE S 400 A
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City | DALLAS
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State | TX
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Zip | 75238-2316
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Country | US
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Telephone | 469-730-4882
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Fax | 214-853-4279
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Authorized Official
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Title or Position | DIRECTOR OF NURSES
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Name | KAREN ANN SHORT
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Credential | RN
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Telephone | 214-558-7879
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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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