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General NPI Number Information
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NPI Number | 1003077967
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH RESOURCE GROUP, L.L.C.
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 8202 KNURLED OAK LN
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City | SPRING
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State | TX
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Zip | 77379-3963
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Country | US
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Telephone | 281-251-4979
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Fax | 281-655-5015
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Provider Business Mailing Address
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Address Line | 8202 KNURLED OAK LN
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City | SPRING
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State | TX
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Zip | 77379-3963
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Country | US
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Telephone | 281-251-4979
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Fax | 281-655-5015
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CAROL S. PITTS
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Credential | RN,BSN
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Telephone | 281-251-4979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive 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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 608309
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License Number State | TX
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