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General NPI Number Information
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NPI Number | 1457584633
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Entity Type | Organization
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Legal Business Name | HOSPICE PLUS NORTH EAST LLC
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 5550 HARVEST HILL RD SUITE 50
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City | DALLAS
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State | TX
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Zip | 75230-1684
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Country | US
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Telephone | 972-385-3988
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Fax | 972-385-3977
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Provider Business Mailing Address
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Address Line | 5550 HARVEST HILL RD SUITE 50
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City | DALLAS
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State | TX
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Zip | 75230-1684
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Country | US
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Telephone | 972-385-3988
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Fax | 972-385-3977
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Authorized Official
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Title or Position | CEO
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Name | DR. BRYAN K. WHITE
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Credential | M.D.
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Telephone | 972-385-3988
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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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