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General NPI Number Information
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NPI Number | 1487624813
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Entity Type | Organization
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Legal Business Name | HARRIS HOSPICE, INC.
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 550 S EDMONDS LN STE 102
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City | LEWISVILLE
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State | TX
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Zip | 75067-3577
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Country | US
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Telephone | 972-353-0800
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Fax | 972-353-0811
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Provider Business Mailing Address
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Address Line | 550 S EDMONDS LN STE 102
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City | LEWISVILLE
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State | TX
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Zip | 75067-3577
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Country | US
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Telephone | 972-353-0800
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Fax | 972-353-0811
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAY WAYNE HARRIS
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Credential | R.N.
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Telephone | 972-353-0800
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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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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 009245
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License Number State | TX
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