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General NPI Number Information
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NPI Number | 1699719989
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Entity Type | Organization
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Legal Business Name | TEXAS HOME HEALTH HOSPICE, L.P.
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 2904 N 4TH ST SUITE 102
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City | LONGVIEW
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State | TX
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Zip | 75605-5129
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Country | US
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Telephone | 903-234-0943
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Fax | 903-238-9068
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Provider Business Mailing Address
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Address Line | 17855 N. DALLAS PKWY. SUITE 200
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City | DALLAS
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State | TX
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Zip | 75287-6857
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Country | US
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Telephone | 972-267-1100
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Fax | 972-267-1116
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Authorized Official
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Title or Position | VP LEGAL
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Name | HEATHER SISCEL
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Credential |
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Telephone | 903-234-0943
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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 | 010521
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License Number State | TX
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