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General NPI Number Information
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NPI Number | 1194942128
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Entity Type | Organization
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Legal Business Name | CRISEVEN HEALTH MGT CORP
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 6105 BEVERLY HILL ST STE 103
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City | HOUSTON
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State | TX
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Zip | 77057
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Country | US
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Telephone | 713-785-8858
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Fax | 713-785-8865
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Provider Business Mailing Address
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Address Line | 6105 BEVERLY HILL ST STE 103
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City | HOUSTON
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State | TX
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Zip | 77057
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Country | US
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Telephone | 713-785-8858
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Fax | 713-785-8865
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EVELYN MOKWUAH-NWORAH
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Credential | RN
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Telephone | 713-785-8858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 010310
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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 | 010310
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License Number State | TX
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