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General NPI Number Information
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NPI Number | 1962708560
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Entity Type | Organization
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Legal Business Name | AURORA HOSPICE LLC
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 7211 REGENCY SQUARE BLVD STE 146
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City | HOUSTON
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State | TX
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Zip | 77036-3138
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Country | US
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Telephone | 281-577-8077
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Fax | 832-767-0578
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Provider Business Mailing Address
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Address Line | PO BOX 37247
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City | HOUSTON
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State | TX
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Zip | 77237-7247
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Country | US
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Telephone | 281-377-5517
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Fax | 832-767-0578
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Authorized Official
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Title or Position | OWNER / CEO
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Name | MOHAMMED ELSALEH
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Credential |
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Telephone | 281-377-8077
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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 | 014173
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License Number State | TX
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