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General NPI Number Information
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NPI Number | 1093230021
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Entity Type | Organization
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Legal Business Name | CANTERBERRY HOME HEALTH
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1227 HELMS RD
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City | HOUSTON
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State | TX
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Zip | 77088-1933
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Country | US
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Telephone | 832-446-7197
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Fax | 281-260-8371
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Provider Business Mailing Address
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Address Line | 1227 HELMS RD
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City | HOUSTON
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State | TX
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Zip | 77088-1933
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Country | US
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Telephone | 832-446-7197
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Fax | 281-260-8371
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Authorized Official
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Title or Position | OWNER
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Name | MRS. THELMA CALDWELL CANTERBERRY
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Credential |
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Telephone | 832-446-7197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number | 08443769
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NA08497896
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License Number State | TX
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