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General NPI Number Information
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NPI Number | 1700875903
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Entity Type | Organization
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Legal Business Name | HOSPICE OF LUBBOCK INC
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 3702 21ST ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1229
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Country | US
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Telephone | 806-795-2751
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Fax | 806-795-8464
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Provider Business Mailing Address
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Address Line | 3702 21ST ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1299
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Country | US
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Telephone | 806-795-2751
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Fax | 806-795-8464
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Authorized Official
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Title or Position | ASSISTANT SECRETARY OF ENROLLMENTS
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Name | DONALD W ANDERSON JR.
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Credential |
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Telephone | 425-358-9786
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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 | 001878
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License Number State | TX
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