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General NPI Number Information
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NPI Number | 1568129161
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Entity Type | Organization
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Legal Business Name | AMAZINGLY GRACE HOSPICE INC
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 7322 SOUTHWEST FWY STE 645
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City | HOUSTON
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State | TX
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Zip | 77074-2065
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Country | US
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Telephone | 832-672-1588
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Fax | 713-588-8863
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Provider Business Mailing Address
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Address Line | 7322 SOUTHWEST FWY SUITE 645 ROOM F
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City | HOUSTON
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State | TX
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Zip | 77074-2065
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Country | US
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Telephone | 832-672-1588
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Fax | 713-588-8863
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Authorized Official
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Title or Position | CEO/OWNER/PRESIDENT
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Name | ADEBAYO OSHINUGA
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Credential |
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Telephone | 832-672-1588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive 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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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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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