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General NPI Number Information
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NPI Number | 1871300921
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Entity Type | Organization
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Legal Business Name | KINGWOOD HOSPICE INC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 8045 FM 359 RD S STE 208
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City | FULSHEAR
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State | TX
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Zip | 77441-1764
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Country | US
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Telephone | 800-684-9284
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Fax |
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Provider Business Mailing Address
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Address Line | 8045 FM 359 RD S STE 208
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City | FULSHEAR
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State | TX
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Zip | 77441-1764
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Country | US
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Telephone | 800-684-9284
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. FATIMA KADUOA
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Credential | ADMINISTRATOR
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Telephone | 800-684-9284
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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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