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General NPI Number Information
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NPI Number | 1609834407
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Entity Type | Organization
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Legal Business Name | PEACEFUL TRANQUILITY HOSPICE INCORPORATED
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 1610 BLODGETT
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City | HOUSTON
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State | TX
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Zip | 77004-5017
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Country | US
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Telephone | 713-523-5533
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Fax | 713-668-9590
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Provider Business Mailing Address
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Address Line | 1610 BLODGETT
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City | HOUSTON
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State | TX
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Zip | 77004-5017
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Country | US
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Telephone | 713-523-5533
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Fax | 713-668-9590
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VANESSA EMAMI
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Credential | BSN RN CWCN
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Telephone | 713-523-5533
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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 | D10030
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License Number State | TX
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