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NPI 1295352011

NPI 1295352011 : CHIVALRY PALLIATIVE CARE SERVICES INC : CYPRESS, TX

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General NPI Number Information
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    NPI Number           |    1295352011
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHIVALRY PALLIATIVE CARE SERVICES INC 
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Dates
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    Enumeration Date     |    06/26/2020
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    Last Update Date     |    12/21/2022
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Provider Practice Location Address
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    Address Line         |    19414 CURLY MESQUITE DR 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77433-7993
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    Country              |    US
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    Telephone            |    469-233-3758
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19414 CURLY MESQUITE DR 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77433-7993
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    Country              |    US
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    Telephone            |    469-233-3758
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     VALENTINE IFEATU NWANKWO 
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    Credential           |    
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    Telephone            |    469-233-3758
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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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