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General NPI Number Information
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NPI Number | 1740430636
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Entity Type | Organization
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Legal Business Name | EGAN HOSPICE SERVICES, L.L.C.
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | 3121 21ST ST
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City | METAIRIE
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State | LA
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Zip | 70002-4916
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Country | US
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Telephone | 504-835-4474
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Fax | 504-835-8154
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Provider Business Mailing Address
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Address Line | 3121 21ST ST
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City | METAIRIE
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State | LA
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Zip | 70002-4916
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Country | US
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Telephone | 504-835-4474
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Fax | 504-835-8154
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. TERESA ELLEN KUGHN
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Credential | RN
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Telephone | 504-835-4474
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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 | 242
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License Number State | LA
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