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General NPI Number Information
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NPI Number | 1487342630
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Entity Type | Organization
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Legal Business Name | CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 621 SOUTH ROSS STERLING
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City | ANAHUAC
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State | TX
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Zip | 77514
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Country | US
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Telephone | 409-267-4126
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Fax | 409-267-4124
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Provider Business Mailing Address
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Address Line | PO BOX 398
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City | ANAHUAC
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State | TX
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Zip | 77514-0398
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROBERT PASCASIO
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Credential |
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Telephone | 409-267-3143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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