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General NPI Number Information
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NPI Number | 1306686043
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Entity Type | Organization
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Legal Business Name | CHRISTIAN CHANEY BUSINESS
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 1534 ANSON AVE
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City | ABILENE
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State | TX
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Zip | 79601-1416
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Country | US
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Telephone | 737-297-1738
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Fax |
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Provider Business Mailing Address
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Address Line | 1534 ANSON AVE
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City | ABILENE
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State | TX
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Zip | 79601-1416
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Country | US
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Telephone | 737-298-1738
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO/PRESIDENT/FOUNDER
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Name | MR. CHRISTIAN T. CHANEY
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Credential |
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Telephone | 737-298-1738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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