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General NPI Number Information
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NPI Number | 1710340286
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Entity Type | Organization
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Legal Business Name | HOPE & GRACE HOSPICE, INC
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 13740 N HIGHWAY 183,BUILDING H, UNIT 1
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City | AUSTIN
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State | TX
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Zip | 78750-1821
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Country | US
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Telephone | 512-358-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 13740 N HIGHWAY 183,BUILDING H, UNIT 1
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City | AUSTIN
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State | TX
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Zip | 78750-1821
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Country | US
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Telephone | 512-358-4222
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANGELA N NJOKU
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Credential | REGISTERED NURSE
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Telephone | 512-358-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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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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