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General NPI Number Information
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NPI Number | 1578508842
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Entity Type | Organization
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Legal Business Name | HEALTHWISE HOSPICE
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 607 W BROWN ST
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City | HEARNE
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State | TX
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Zip | 77859-3018
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Country | US
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Telephone | 979-279-9284
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Fax | 979-279-2032
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Provider Business Mailing Address
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Address Line | 607 W BROWN ST
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City | HEARNE
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State | TX
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Zip | 77859-3018
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Country | US
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Telephone | 979-279-9284
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Fax | 979-279-2032
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. TONY MEEKS
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Credential |
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Telephone | 979-279-9284
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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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