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General NPI Number Information
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NPI Number | 1306573506
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Entity Type | Organization
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Legal Business Name | IV RX HOSPICE CARE LLC
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Dates
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Enumeration Date | 08/07/2022
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Last Update Date | 08/07/2022
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Provider Practice Location Address
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Address Line | 13414 MEDICAL COMPLEX DR STE 12
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City | TOMBALL
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State | TX
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Zip | 77375-3334
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Country | US
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Telephone | 832-296-7902
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Fax |
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Provider Business Mailing Address
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Address Line | 13414 MEDICAL COMPLEX DR STE 12
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City | TOMBALL
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State | TX
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Zip | 77375-3334
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Country | US
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Telephone | 832-296-7902
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. SEAN P HUNDLEY
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Credential |
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Telephone | 832-801-8542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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