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General NPI Number Information
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NPI Number | 1013651819
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Entity Type | Organization
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Legal Business Name | CEDARWOOD HEALTHCARE LLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 11104 W AIRPORT BLVD STE 135
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City | STAFFORD
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State | TX
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Zip | 77477-3040
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Country | US
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Telephone | 281-900-6321
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Fax | 281-609-4391
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Provider Business Mailing Address
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Address Line | 11104 W AIRPORT BLVD STE 135
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City | STAFFORD
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State | TX
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Zip | 77477-3040
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Country | US
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Telephone | 281-900-6321
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Fax | 281-609-4391
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Authorized Official
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Title or Position | MANAGER
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Name | PAUL ROBERTSON
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Credential |
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Telephone | 281-900-6321
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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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