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NPI 1902142011

NPI 1902142011 : GIFT OF LIFE HOSPICE LLC : RICHARDSON, TX

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General NPI Number Information
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    NPI Number           |    1902142011
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    Entity Type          |    Organization 
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    Legal Business Name  |    GIFT OF LIFE HOSPICE LLC 
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Dates
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    Enumeration Date     |    12/17/2012
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    1616 GATEWAY BLVD STE F 
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75080-3529
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    Country              |    US
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    Telephone            |    469-887-4654
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    Fax                  |    214-260-0757
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Provider Business Mailing Address
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    Address Line         |    1616 GATEWAY BLVD STE F 
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75080-3529
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    Country              |    US
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    Telephone            |    469-887-4654
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    Fax                  |    214-260-0757
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     ARACELY  DOBBINS 
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    Credential           |    RN
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    Telephone            |    214-267-1800
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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       |    015480
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    License Number State |    TX
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