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NPI 1447911573

NPI 1447911573 : BY GRACE HOSPICE LLC : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1447911573
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    Entity Type          |    Organization 
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    Legal Business Name  |    BY GRACE HOSPICE LLC 
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Dates
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    Enumeration Date     |    12/30/2021
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    Last Update Date     |    09/29/2025
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Provider Practice Location Address
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    Address Line         |    9300 JOHN HICKMAN PKWY STE 205A 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75035-5711
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    Country              |    US
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    Telephone            |    214-618-0307
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    Fax                  |    844-639-2033
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Provider Business Mailing Address
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    Address Line         |    9300 JOHN HICKMAN PKWY STE 205A 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75035-5711
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    Country              |    US
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    Telephone            |    214-618-0307
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    Fax                  |    844-639-2033
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     VIVIAN VELASQUEZ POBLETE 
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    Credential           |    
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    Telephone            |    817-707-9580
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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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