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NPI 1902381015

NPI 1902381015 : TRUECARE COMMUNITY HOSPICE LLC : PEARLAND, TX

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General NPI Number Information
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    NPI Number           |    1902381015
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRUECARE COMMUNITY HOSPICE LLC 
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Dates
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    Enumeration Date     |    09/25/2018
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    Last Update Date     |    09/25/2018
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Provider Practice Location Address
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    Address Line         |    2718 SCARLET OAK DR 
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    City                 |    PEARLAND
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    State                |    TX
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    Zip                  |    77581-1430
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    Country              |    US
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    Telephone            |    832-421-8919
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2718 SCARLET OAK DR 
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    City                 |    PEARLAND
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    State                |    TX
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    Zip                  |    77581-1430
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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    |    ADMINISTRATOR
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    Name                 |     MOHAMAD  CHERKAOUI 
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    Credential           |    
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    Telephone            |    832-421-8919
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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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