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General NPI Number Information
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NPI Number | 1407813918
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Entity Type | Organization
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Legal Business Name | CLP REGENCY OF TEXAS, LLC
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 9400 GROGANS MILL RD STE 200
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3636
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Country | US
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Telephone | 936-755-3108
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Fax | 866-955-8545
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Provider Business Mailing Address
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Address Line | 10 CADILLAC DR SUITE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-5078
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Country | US
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Telephone | 615-425-5407
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Fax | 615-373-4457
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Authorized Official
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Title or Position | SVP GENERAL COUNSEL
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Name | RUSSELL ADKINS
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Credential |
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Telephone | 615-926-0340
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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 | 008129
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License Number State | TX
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