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General NPI Number Information
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NPI Number | 1215408240
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Entity Type | Organization
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Legal Business Name | CHRYSALIS HEALTH OF TEXAS, PA
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 4592 CAMINO DEL MIRASOL
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1003
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Country | US
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Telephone | 424-334-9213
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Fax |
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Provider Business Mailing Address
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Address Line | 386 PARK AVE S FL 5
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City | NEW YORK
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State | NY
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Zip | 10016-8804
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Country | US
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Telephone | 847-809-6796
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENNIFER HONE
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Credential | MD
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Telephone | 847-809-6796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism
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License Number |
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License Number State |
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