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General NPI Number Information
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NPI Number | 1972776821
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Entity Type | Organization
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Legal Business Name | ALPHA-OMEGA HOSPICE CARE
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 3014 S SHILOH RD SUITE D
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City | GARLAND
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State | TX
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Zip | 75041-2415
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Country | US
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Telephone | 972-278-8585
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Fax | 214-227-4356
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Provider Business Mailing Address
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Address Line | PO BOX 495998
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City | GARLAND
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State | TX
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Zip | 75049-5998
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Country | US
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Telephone | 972-278-8585
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Fax | 214-227-4356
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Authorized Official
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Title or Position | OWNER
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Name | RENJI JOHN
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Credential |
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Telephone | 972-278-8585
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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 | N/A
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License Number State | TX
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