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General NPI Number Information
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NPI Number | 1518728302
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Entity Type | Organization
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Legal Business Name | ST. GABRIEL'S HOSPICE & PALLIATIVE CARE LLC
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 7700 E ARAPAHOE RD STE 220
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City | CENTENNIAL
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State | CO
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Zip | 80112-1268
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Country | US
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Telephone | 817-319-7868
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Fax |
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Provider Business Mailing Address
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Address Line | 4517 WESTBURY DR
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City | COLLEYVILLE
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State | TX
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Zip | 76034-4266
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Country | US
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Telephone | 817-319-7868
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JOSHUA IHLE
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Credential |
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Telephone | 817-319-7868
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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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