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General NPI Number Information
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NPI Number | 1467692483
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Entity Type | Organization
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Legal Business Name | CGN HEALTHCARE SERVICES INC.
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 12/17/2017
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Provider Practice Location Address
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Address Line | 8700 COMMERCE PARK DR SUITE 147
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City | HOUSTON
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State | TX
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Zip | 77036-7497
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Country | US
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Telephone | 713-589-9060
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Fax | 713-774-0400
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Provider Business Mailing Address
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Address Line | 8700 COMMERCE PARK DR SUITE 147
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City | HOUSTON
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State | TX
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Zip | 77036-7497
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Country | US
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Telephone | 713-589-9060
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Fax | 713-774-0400
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Authorized Official
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Title or Position | OWNER/ALTERNATE ADMINISTRATOR
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Name | CHARLES JOHNSON
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Credential |
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Telephone | 713-589-9060
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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 | 012639
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License Number State | TX
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