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General NPI Number Information
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NPI Number | 1427051325
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Entity Type | Organization
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Legal Business Name | CATHOLIC HOSPICE, INC
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 14875 NW 77TH AVE STE 100
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2568
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Country | US
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Telephone | 305-822-2380
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Fax | 305-819-2281
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Provider Business Mailing Address
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Address Line | 14875 NW 77TH AVE STUITE 100
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2568
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Country | US
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Telephone | 305-822-2380
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Fax | 305-819-2281
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MRS. MARY JO FRICK
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Credential |
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Telephone | 954-648-8156
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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 | 5004095
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License Number State | FL
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