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General NPI Number Information
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NPI Number | 1649961582
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Entity Type | Organization
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Legal Business Name | PELICAN HOSPICE LLC
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Dates
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Enumeration Date | 05/19/2023
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 2655 VILLA CREEK DR STE 235L
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City | DALLAS
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State | TX
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Zip | 75234-7324
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Country | US
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Telephone | 972-302-9756
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Fax |
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Provider Business Mailing Address
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Address Line | 2655 VILLA CREEK DR STE 235L
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City | DALLAS
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State | TX
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Zip | 75234-7324
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Country | US
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Telephone | 972-302-9756
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. VARGHESE ZACHARIA
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Credential |
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Telephone | 972-302-9756
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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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