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General NPI Number Information
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NPI Number | 1376503201
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Entity Type | Organization
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Legal Business Name | HOSPICE AUSTIN
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 4107 SPICEWOOD SPRINGS RD SUITE 100
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City | AUSTIN
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State | TX
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Zip | 78759-8660
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Country | US
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Telephone | 512-342-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 4107 SPICEWOOD SPRINGS RD SUITE 100
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City | AUSTIN
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State | TX
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Zip | 78759-8660
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INTERIM DIRECTOR OF QUALITY
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Name | CHRISTINA DIANE REMUS
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Credential | RN, BSN
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Telephone | 512-342-4725
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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 | 001791
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License Number State | TX
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