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General NPI Number Information
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NPI Number | 1063175271
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Entity Type | Organization
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Legal Business Name | CFHC NO23 INC
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Dates
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Enumeration Date | 10/15/2021
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 7594 US HIGHWAY 181 N
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City | FLORESVILLE
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State | TX
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Zip | 78114-6293
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Country | US
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Telephone | 830-223-4468
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Fax | 830-229-2418
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Provider Business Mailing Address
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Address Line | 7594 US HIGHWAY 181 N
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City | FLORESVILLE
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State | TX
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Zip | 78114-6293
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Country | US
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Telephone | 830-223-4468
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Fax | 830-229-2418
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Authorized Official
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Title or Position | ADMINISTRATOR, CEO
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Name | CHARLES WILBUR ROY
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Credential | RN
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Telephone | 830-223-4688
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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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