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General NPI Number Information
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NPI Number | 1528307170
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Entity Type | Organization
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Legal Business Name | HYGIA HOSPICE, LLC
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Dates
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Enumeration Date | 02/01/2013
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Last Update Date | 02/01/2013
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Provider Practice Location Address
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Address Line | 4200 SW GREEN OAKS BLVD STE 140
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City | ARLINGTON
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State | TX
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Zip | 76017-4162
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Country | US
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Telephone | 817-478-7600
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Fax | 817-478-7606
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Provider Business Mailing Address
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Address Line | 4200 SW GREEN OAKS BLVD STE 140
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City | ARLINGTON
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State | TX
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Zip | 76017-4162
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Country | US
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Telephone | 817-478-7600
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Fax | 817-478-7606
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | MS. TONYA L REEVES
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Credential | RN, BSN
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Telephone | 817-478-7600
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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 | TX
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