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General NPI Number Information
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NPI Number | 1083774491
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH RESOURCE CENTER, INC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 515 N SAM HOUSTON PKWY E STE 320
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City | HOUSTON
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State | TX
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Zip | 77060-4139
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Country | US
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Telephone | 713-705-2443
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Fax |
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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 | 281-655-4990
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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 | CAROL S PITTS
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Credential | RN
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Telephone | 713-705-2443
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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