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General NPI Number Information
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NPI Number | 1992907521
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Entity Type | Organization
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Legal Business Name | BISHOP HOSPICE, LLC
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 4402 BROADWAY BLVD STE 14A
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City | GARLAND
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State | TX
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Zip | 75043-8263
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Country | US
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Telephone | 972-770-0597
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Fax | 972-770-0598
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Provider Business Mailing Address
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Address Line | 809 MEADOWSIDE CT
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City | GARLAND
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State | TX
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Zip | 75043-3721
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Country | US
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Telephone | 972-770-0597
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Fax | 972-770-0598
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Authorized Official
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Title or Position | CEO / ADMINISTRATOR
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Name | SHIBU SAMUEL
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Credential |
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Telephone | 972-770-0597
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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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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 | 2287
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License Number State | TX
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