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General NPI Number Information
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NPI Number | 1386171486
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Entity Type | Organization
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Legal Business Name | CROSSWIRES ELECTRIC
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 5825 SPENCER HWY
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City | PASADENA
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State | TX
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Zip | 77505-2303
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Country | US
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Telephone | 832-495-8981
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 772165
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City | HOUSTON
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State | TX
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Zip | 77215-2165
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Country | US
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Telephone | 18324958981
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. MICHON THORNTON
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Credential |
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Telephone | 832-495-8981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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