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General NPI Number Information
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NPI Number | 1639806318
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Entity Type | Organization
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Legal Business Name | PEACEFUL BRIDGE HOSPICE 3, INC.
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 11550 W IH 10 STE 340
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City | SAN ANTONIO
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State | TX
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Zip | 78230-1061
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Country | US
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Telephone | 855-478-4161
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Fax | 210-855-7698
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Provider Business Mailing Address
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Address Line | 11550 W IH 10 STE 340
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City | SAN ANTONIO
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State | TX
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Zip | 78230-1061
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Country | US
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Telephone | 855-478-4161
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Fax | 210-855-7698
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SAMANTHA PAYNTER
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Credential |
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Telephone | 925-961-7997
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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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