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General NPI Number Information
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NPI Number | 1386664159
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Entity Type | Organization
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Legal Business Name | HEART TO HEART HOSPICE OF SAN ANTONIO, LLC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 03/31/2014
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Provider Practice Location Address
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Address Line | 1000 CENTRAL PKWY N STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78232-5050
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Country | US
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Telephone | 210-824-4113
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Fax | 210-824-4994
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Provider Business Mailing Address
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Address Line | 7240 CHASE OAKS BLVD
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City | PLANO
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State | TX
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Zip | 75025-5901
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Country | US
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Telephone | 972-517-6300
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Fax | 972-517-6301
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Authorized Official
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Title or Position | CEO
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Name | KELLY O MITCHELL
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Credential |
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Telephone | 972-517-6300
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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 | 012563
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License Number State | TX
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