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General NPI Number Information
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NPI Number | 1831189059
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Entity Type | Organization
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Legal Business Name | GREATER HILL COUNTRY HOSPICE
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 808 REUBEN ST BRUNE BUILDING - 2ND FLOOR
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4436
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Country | US
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Telephone | 830-997-1335
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Fax | 830-997-3547
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Provider Business Mailing Address
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Address Line | PO BOX 835
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-0835
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Country | US
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Telephone | 830-997-1335
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Fax | 830-997-3547
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Authorized Official
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Title or Position | DIRECTOR
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Name | SUSAN MAYO
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Credential |
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Telephone | 830-997-1335
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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 | 007156
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License Number State | TX
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