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General NPI Number Information
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NPI Number | 1376740514
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Entity Type | Organization
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Legal Business Name | CHELSTON CARE SERVICES, INC.
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 4434 BLUE BONNET DRIVE SUITE 118
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City | STAFFORD
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State | TX
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Zip | 77477
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Country | US
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Telephone | 281-494-0906
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Fax | 281-277-0664
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Provider Business Mailing Address
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Address Line | 4434 BLUE BONNET DRIVE SUITE 118
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City | STAFFORD
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State | TX
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Zip | 77477
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Country | US
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Telephone | 281-494-0906
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Fax | 281-277-0664
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Authorized Official
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Title or Position | ADMINISTRATOR /DIRECTOR OF NURSING
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Name | MS. VERA U UZOMA
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Credential | REGISTERED NURSE
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Telephone | 281-494-0906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 011391
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License Number State | TX
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