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General NPI Number Information
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NPI Number | 1952251092
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Entity Type | Organization
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Legal Business Name | EXCELACARE HOSPICE OF EASTERN NEW MEXICO LLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 2300 N MAIN ST STE 19A
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City | CLOVIS
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State | NM
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Zip | 88101-3575
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Country | US
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Telephone | 575-769-0049
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Fax | 575-742-3368
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Provider Business Mailing Address
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Address Line | 101 W RENNER RD STE 420
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City | RICHARDSON
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State | TX
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Zip | 75082-2022
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Country | US
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Telephone | 877-525-3338
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JOHN BRANDON DURBIN
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Credential |
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Telephone | 469-361-0120
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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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