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General NPI Number Information
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NPI Number | 1831158203
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Entity Type | Organization
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Legal Business Name | TRINITY HOSPICE OF TEXAS LLC
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 100 E HUBBARD ST STE 101
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City | MINERAL WELLS
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State | TX
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Zip | 76067-5320
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Country | US
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Telephone | 940-468-4194
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Fax | 940-325-3353
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Provider Business Mailing Address
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Address Line | PO BOX 4060
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City | MOORESVILLE
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State | NC
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Zip | 28117-4060
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP, LICENSURE
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Name | MRS. JANET COMBS
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Credential |
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Telephone | 704-664-2876
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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 | 011458
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License Number State | TX
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