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General NPI Number Information
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NPI Number | 1235565458
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Entity Type | Organization
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Legal Business Name | CHRISCILLIA PEDIATRIC CARE INCORPORATED
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 6006 BELLAIRE BLVD STE 216
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City | HOUSTON
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State | TX
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Zip | 77081-5404
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Country | US
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Telephone | 713-664-1673
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Fax | 713-664-1674
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Provider Business Mailing Address
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Address Line | 6006 BELLAIRE BLVD STE 218
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City | HOUSTON
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State | TX
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Zip | 77081-5404
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Country | US
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Telephone | 713-664-1673
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Fax | 713-664-1674
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Authorized Official
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Title or Position | ADIMINISTRATOR
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Name | CHRISTOPHER MADUEKE
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Credential |
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Telephone | 713-664-1673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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