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General NPI Number Information
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NPI Number | 1720162506
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Entity Type | Organization
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Legal Business Name | SOUTHEAST TEXAS HOSPICE
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 912 W CHERRY AVE
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City | ORANGE
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State | TX
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Zip | 77630-5017
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Country | US
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Telephone | 409-886-0622
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Fax | 409-886-0623
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Provider Business Mailing Address
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Address Line | PO BOX 2385
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City | ORANGE
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State | TX
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Zip | 77631-2385
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Country | US
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Telephone | 409-886-0622
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Fax | 409-886-0623
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MARY MCKENNA
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Credential |
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Telephone | 409-886-0622
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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 | 002033
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License Number State | TX
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