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General NPI Number Information
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NPI Number | 1912171257
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Entity Type | Organization
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Legal Business Name | DAY LIGHT HOSPICE, INC.
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 12900 PRESTON RD SUITE 422B
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City | DALLAS
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State | TX
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Zip | 75230-1329
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Country | US
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Telephone | 972-233-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 12900 PRESTON RD SUITE 422B
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City | DALLAS
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State | TX
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Zip | 75230-1329
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Country | US
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Telephone | 972-233-9494
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. THOMAS ZACHARIAH
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Credential |
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Telephone | 469-223-7836
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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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