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General NPI Number Information
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NPI Number | 1154121804
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Entity Type | Organization
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Legal Business Name | THRIVE SPECIALTY NURSING SERVICES, LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 813 E X ST
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City | DEER PARK
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State | TX
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Zip | 77536-3727
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Country | US
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Telephone | 832-788-4463
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Fax | 877-710-1317
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Provider Business Mailing Address
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Address Line | PO BOX 1463
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City | DEER PARK
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State | TX
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Zip | 77536-1463
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Country | US
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Telephone | 832-788-4463
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Fax | 877-710-1317
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | CHRIS TYSON
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Credential | RN
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Telephone | 832-788-4463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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