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General NPI Number Information
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NPI Number | 1013604818
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Entity Type | Individual
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Provider Name | EDNA CELESTINO RAWLINS
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Gender | Female
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 524 FAIRDALE ST
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-4518
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Country | US
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Telephone | 281-684-1578
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Fax |
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Provider Business Mailing Address
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Address Line | 520 E MYRTLE ST APT 5
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City | ANGLETON
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State | TX
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Zip | 77515-4753
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Country | US
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Telephone | 979-264-8458
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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