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General NPI Number Information
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NPI Number | 1427773340
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Entity Type | Organization
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Legal Business Name | TIMELESS HOSPICE LLC
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 6689 WILCREST DR STE 7
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City | HOUSTON
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State | TX
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Zip | 77072-2000
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Country | US
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Telephone | 346-933-1658
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Fax |
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Provider Business Mailing Address
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Address Line | 14402 W BELLFORT ST APT 1238
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City | SUGAR LAND
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State | TX
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Zip | 77498-1837
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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 | CEO
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Name | SIMEON ETTA
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Credential |
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Telephone | 346-933-1658
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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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