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General NPI Number Information
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NPI Number | 1275849333
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Entity Type | Organization
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Legal Business Name | LIFEPOINTE HOSPICE LLC
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 12425 ISLAND DR
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City | TOMBALL
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State | TX
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Zip | 77377-9093
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Country | US
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Telephone | 281-731-2893
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Fax | 214-420-4014
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Provider Business Mailing Address
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Address Line | 12425 ISLAND DR
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City | TOMBALL
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State | TX
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Zip | 77377-9093
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Country | US
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Telephone | 281-824-3250
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Fax | 281-781-7112
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VIRGINIA ROSS JOHNSON
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Credential | R.N.
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Telephone | 281-731-2893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 013509
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License Number State | TX
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