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General NPI Number Information
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NPI Number | 1477379931
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Entity Type | Organization
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Legal Business Name | THE COMMUNITY INTEGRATION PROJECT
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 6005 WINDWARD FALLS WAY
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City | PORTER
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State | TX
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Zip | 77365-1899
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Country | US
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Telephone | 903-452-3363
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6323
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City | KINGWOOD
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State | TX
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Zip | 77325-6323
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Country | US
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Telephone | 903-258-0189
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Fax |
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Authorized Official
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Title or Position | CEO/EXECUTIVE DIRECTOR
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Name | LISA M CHAPMAN
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Credential |
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Telephone | 903-452-3363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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