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General NPI Number Information
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NPI Number | 1467621078
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Entity Type | Organization
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Legal Business Name | COSMOS HOSPICE OF SAN ANTONIO, LLC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 2210 BANDERA HWY STE B-2
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City | KERRVILLE
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State | TX
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Zip | 78028-6609
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Country | US
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Telephone | 830-955-5961
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Fax | 830-955-5965
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Provider Business Mailing Address
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Address Line | PO BOX 4060
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City | MOORESVILLE
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State | NC
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Zip | 28117-4060
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Country | US
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Telephone | 704-664-2876
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Fax | 704-664-1306
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Authorized Official
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Title or Position | VP OF LICENSURE
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Name | JANET COMBS
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Credential |
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Telephone | 704-662-1761
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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 | 013949
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License Number State | TX
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