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General NPI Number Information
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NPI Number | 1962162560
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Entity Type | Organization
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Legal Business Name | PEACEFUL BRIDGE HOSPICE, INC
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1610 BLODGETT ST # B
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City | HOUSTON
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State | TX
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Zip | 77004-5017
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Country | US
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Telephone | 281-414-2141
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Fax | 832-582-5991
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Provider Business Mailing Address
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Address Line | 1610 BLODGETT ST STE B
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City | HOUSTON
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State | TX
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Zip | 77004-5017
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Country | US
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Telephone | 281-414-2141
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. VANESSA EMAMI
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Credential | BSN, RN
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Telephone | 281-414-2141
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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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