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General NPI Number Information
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NPI Number | 1902253032
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Entity Type | Organization
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Legal Business Name | DIRECT HOSPICE CARE, INC.
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 2855 MANGUM RD STE 563
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City | HOUSTON
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State | TX
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Zip | 77092-7486
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Country | US
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Telephone | 832-649-4236
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Fax | 866-481-4310
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Provider Business Mailing Address
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Address Line | 8150 N CENTRAL EXPY STE M2060
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City | DALLAS
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State | TX
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Zip | 75206-1999
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Country | US
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Telephone | 713-385-6931
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JEREMY SULLIVAN
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Credential |
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Telephone | 713-385-6931
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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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