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General NPI Number Information
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NPI Number | 1124087663
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Entity Type | Organization
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Legal Business Name | CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 721 W MULBERRY
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City | ANGLETON
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State | TX
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Zip | 77515-4239
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Country | US
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Telephone | 979-849-8281
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Fax | 979-849-0249
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Provider Business Mailing Address
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Address Line | 721 W MULBERRY
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City | ANGLETON
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State | TX
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Zip | 77515-4239
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Country | US
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Telephone | 979-849-8281
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Fax | 979-849-0249
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT PASCASIO
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Credential |
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Telephone | 409-267-3143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 115157
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License Number State | TX
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