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General NPI Number Information
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NPI Number | 1245902899
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Entity Type | Organization
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Legal Business Name | CFHC NO4 INC
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 2425 BABCOCK RD STE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4899
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Country | US
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Telephone | 210-272-0233
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Fax | 210-272-0301
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Provider Business Mailing Address
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Address Line | 2425 BABCOCK RD. STE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-272-0233
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Fax | 210-272-0301
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Authorized Official
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Title or Position | CEO
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Name | SHAPOUR OLIA
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Credential |
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Telephone | 210-272-0233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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