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General NPI Number Information
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NPI Number | 1679169064
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Entity Type | Organization
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Legal Business Name | AGLOW HOSPICE CARE SERVICES, LLC
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Dates
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Enumeration Date | 12/19/2020
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Last Update Date | 12/19/2020
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Provider Practice Location Address
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Address Line | 8016 STONEHILL DR
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City | PLANO
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State | TX
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Zip | 75025-2564
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Country | US
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Telephone | 469-702-1948
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Fax |
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Provider Business Mailing Address
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Address Line | 8016 STONEHILL DR
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City | PLANO
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State | TX
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Zip | 75025-2564
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NP
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Name | CHARLES EBERE OKPARA
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Credential | FNP-BC
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Telephone | 602-909-8026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number |
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License Number State |
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