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General NPI Number Information
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NPI Number | 1457563330
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Entity Type | Organization
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Legal Business Name | CHARTWELL COMMUNITY SERVICES, INC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 714 W GIBSON ST STE 10
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City | JASPER
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State | TX
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Zip | 75951-4960
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Country | US
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Telephone | 409-384-6577
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Fax | 409-242-6634
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Provider Business Mailing Address
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Address Line | 3010 LYNDON B JOHNSON FWY STE 1100
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City | DALLAS
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State | TX
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Zip | 75234-2712
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Country | US
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Telephone | 800-234-1866
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Fax | 903-537-8420
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Authorized Official
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Title or Position | COMPLIANCE AND PRIVACY OFFICER
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Name | KATIE MONASTIERE
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Credential | CHC
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Telephone | 517-768-4373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 011269
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License Number State | TX
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