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General NPI Number Information
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NPI Number | 1124421979
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Entity Type | Organization
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Legal Business Name | CWP HEALTHCARE OP LLC
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 7441 COFFEE ST
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City | HOUSTON
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State | TX
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Zip | 77033-3455
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Country | US
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Telephone | 713-733-9471
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Fax | 713-733-6597
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Provider Business Mailing Address
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Address Line | 5305 VILLAGE CREEK DR
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City | PLANO
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State | TX
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Zip | 75093-4810
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Country | US
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Telephone | 972-818-7500
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Fax | 972-732-6644
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Authorized Official
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Title or Position | MANAGER
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Name | CHARLES PUTNAM
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Credential |
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Telephone | 972-818-7500
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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 |
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License Number State | TX
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