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General NPI Number Information
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NPI Number | 1346512217
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Entity Type | Organization
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Legal Business Name | BENEVOLENT HOSPICE OF HOUSTON, LLC
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 10701 CORPORATE DR STE 356
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City | STAFFORD
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State | TX
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Zip | 77477-4017
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Country | US
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Telephone | 281-302-5994
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Fax | 832-500-4347
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Provider Business Mailing Address
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Address Line | 9555 CANTURA CRST
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City | SAN ANTONIO
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State | TX
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Zip | 78250-1719
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Country | US
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Telephone | 210-681-2140
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Fax | 210-681-3148
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Authorized Official
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Title or Position | CEO
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Name | JAMES FRANKLIN THOMAS JR.
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Credential |
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Telephone | 210-681-2140
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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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