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General NPI Number Information
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NPI Number | 1326343989
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Entity Type | Organization
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Legal Business Name | INTEGRACARE OF DALLAS-HOSPICE, LLC
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 1150 EMPIRE CENTRAL PL SUITE 106
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City | DALLAS
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State | TX
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Zip | 75247-4323
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Country | US
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Telephone | 214-631-2450
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Fax | 214-631-2779
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Provider Business Mailing Address
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Address Line | 2559 SW GRAPEVINE PKWY SUITE 300
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City | GRAPEVINE
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State | TX
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Zip | 76051-1000
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Country | US
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Telephone | 817-310-4927
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Fax | 817-310-4990
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CHRISTOPHER T. GERARD
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Credential |
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Telephone | 817-310-4927
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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 | TX
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