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General NPI Number Information
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NPI Number | 1114075959
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Entity Type | Organization
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Legal Business Name | CHRISTIAN SENIOR SERVICES
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 4306 NW LOOP 410
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5140
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Country | US
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Telephone | 210-735-5115
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Fax | 210-735-5659
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Provider Business Mailing Address
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Address Line | 4306 NW LOOP 410
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5140
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Country | US
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Telephone | 210-735-5115
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Fax | 210-735-5659
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SHARON BAUGHMAN
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Credential |
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Telephone | 210-735-5115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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