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General NPI Number Information
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NPI Number | 1457385411
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Entity Type | Organization
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Legal Business Name | CRUSADE INTEGRATED HEALTH SERVICES,LLC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 10101 FONDREN RD STE 327
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City | HOUSTON
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State | TX
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Zip | 77096-5124
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Country | US
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Telephone | 713-778-9468
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Fax | 713-778-9469
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Provider Business Mailing Address
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Address Line | 10101 FONDREN RD STE 327
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City | HOUSTON
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State | TX
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Zip | 77096-5124
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Country | US
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Telephone | 713-778-9468
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Fax | 713-778-9469
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Authorized Official
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Title or Position | PARTNER/PRESIDENT/ADMINISTRATOR
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Name | MS. CONSUELA L YANCY-COLE
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Credential |
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Telephone | 713-778-9468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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