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General NPI Number Information
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NPI Number | 1427536531
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Entity Type | Organization
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Legal Business Name | LIBERTY HOSPICE CARE INC.
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 777 S CENTRAL EXPY STE 104
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City | RICHARDSON
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State | TX
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Zip | 75080-7428
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Country | US
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Telephone | 214-682-9299
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Fax | 241-593-4700
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Provider Business Mailing Address
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Address Line | 777 S CENTRAL EXPY SUITE S-7
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City | RICHARDSON
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State | TX
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Zip | 75080-7422
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Country | US
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Telephone | 214-682-9299
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Fax | 214-593-4700
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Authorized Official
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Title or Position | PRESIDENT
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Name | LILLIAN EGHAREVBA
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Credential |
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Telephone | 214-682-9299
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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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