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General NPI Number Information
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NPI Number | 1326454729
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Entity Type | Organization
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Legal Business Name | CHARLIN HOSPICE LLC
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 400 CHISHOLM PL SUITE 400
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 972-423-4170
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Fax | 469-368-0999
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Provider Business Mailing Address
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Address Line | 400 CHISHOLM PL SUITE 400
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 972-423-4170
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Fax | 469-368-0999
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. ROSEMARY O BRYCE
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Credential | RN
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Telephone | 972-424-3200
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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 | 016531
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License Number State | TX
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