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General NPI Number Information
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NPI Number | 1922834886
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Entity Type | Organization
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Legal Business Name | SKYE HOSPICE LLC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 11550 W IH 10 # 340
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City | SAN ANTONIO
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State | TX
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Zip | 78230-1061
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Country | US
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Telephone | 855-478-4161
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Fax |
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Provider Business Mailing Address
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Address Line | 11550 W IH 10 # 340
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City | SAN ANTONIO
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State | TX
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Zip | 78230-1061
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Country | US
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Telephone | 855-478-4161
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAMANTHA JO REYES
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Credential |
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Telephone | 925-961-7997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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