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General NPI Number Information
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NPI Number | 1619497450
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HOSPICE CARE, INC.
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 4204 GARDENDALE ST STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3138
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Country | US
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Telephone | 210-614-0200
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Fax | 210-569-6497
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Provider Business Mailing Address
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Address Line | 4204 GARDENDALE ST STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3138
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Country | US
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Telephone | 210-614-0200
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Fax | 210-569-6497
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Authorized Official
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Title or Position | COO
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Name | XIMENA PEREZ DE LEON
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Credential |
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Telephone | 210-614-0200
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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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