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General NPI Number Information
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NPI Number | 1366217580
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Entity Type | Organization
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Legal Business Name | STELLIS HOSPICE OF EAST TEXAS, LLC
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 210B S TIMBERLAND DR STE 7
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City | LUFKIN
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State | TX
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Zip | 75901-0411
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Country | US
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Telephone | 281-975-1418
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Fax |
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Provider Business Mailing Address
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Address Line | 210B S TIMBERLAND DR STE 7
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City | LUFKIN
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State | TX
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Zip | 75901-0411
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Country | US
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Telephone | 281-975-1418
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE
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Name | SYLVIE BOAL
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Credential |
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Telephone | 909-544-9307
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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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