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General NPI Number Information
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NPI Number | 1538739982
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Entity Type | Organization
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Legal Business Name | METHODIST HOSPICE INC
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 23303 PARKWAY LAKES LN
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City | RICHMOND
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State | TX
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Zip | 77407-2899
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Country | US
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Telephone | 832-814-0101
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Fax | 281-966-1722
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Provider Business Mailing Address
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Address Line | 23303 PARKWAY LAKES LN
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City | RICHMOND
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State | TX
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Zip | 77407-2899
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Country | US
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Telephone | 832-814-0101
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Fax | 281-966-1722
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JACKELINE HERRERA
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Credential | RN
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Telephone | 832-814-0101
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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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