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General NPI Number Information
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NPI Number | 1275262115
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Entity Type | Organization
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Legal Business Name | KUSH FOR HOSPICE AND PALLIATIVE CARE LLC
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 7207 REGENCY SQUARE BLVD STE 260-24
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City | HOUSTON
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State | TX
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Zip | 77036-3188
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Country | US
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Telephone | 346-661-7323
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Fax |
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Provider Business Mailing Address
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Address Line | 2084 E WASHINGTON AVE
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City | GILBERT
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State | AZ
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Zip | 85234-6229
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Country | US
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Telephone | 346-661-7323
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ABDALLA ELKHALIFA
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Credential |
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Telephone | 346-661-7323
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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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