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General NPI Number Information
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NPI Number | 1508020181
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Entity Type | Organization
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Legal Business Name | COSMOS HOSPICE OF AUSTIN, LLC
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 3409 EXECUTIVE CENTER DR SUITE 241
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City | AUSTIN
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State | TX
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Zip | 78731-1641
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Country | US
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Telephone | 281-703-9990
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Fax | 281-277-0774
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Provider Business Mailing Address
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Address Line | 16435 DAWNCREST WAY
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City | SUGAR LAND
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State | TX
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Zip | 77498-7164
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Country | US
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Telephone | 281-703-9990
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Fax | 281-277-0774
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SONAL R PATEL
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Credential |
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Telephone | 281-703-9990
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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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