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General NPI Number Information
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NPI Number | 1609879469
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE HOSPICE PARTNERS LLC
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 10/31/2014
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Provider Practice Location Address
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Address Line | 715 E MAIN ST SUITE 100
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City | TOMBALL
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State | TX
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Zip | 77375-6720
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Country | US
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Telephone | 281-290-7727
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Fax | 281-290-8460
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Provider Business Mailing Address
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Address Line | 12900 FOSTER SUITE 400
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City | OVERLAND PARK
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State | KS
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Zip | 66062-2696
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Country | US
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Telephone | 913-814-2800
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Fax | 512-634-4966
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | MS. RUTH C. SCHWARTZ
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Credential |
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Telephone | 913-814-2288
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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 | 013033
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License Number State | TX
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