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General NPI Number Information
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NPI Number | 1780423525
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Entity Type | Organization
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Legal Business Name | FOREVER COMFORT HOSPICE LLC
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 1636 FALCONET CT
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City | CARROLLTON
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State | TX
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Zip | 75010-2028
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Country | US
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Telephone | 469-631-4004
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Fax | 469-638-9889
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Provider Business Mailing Address
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Address Line | 1636 FALCONET CT
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City | CARROLLTON
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State | TX
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Zip | 75010-2028
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Country | US
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Telephone | 469-631-4004
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Fax | 469-638-9889
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Authorized Official
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Title or Position | CFO
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Name | MR. MANOJ ABRAHAM
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Credential |
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Telephone | 469-631-4004
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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 |
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License Number State |
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