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General NPI Number Information
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NPI Number | 1497180905
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Entity Type | Organization
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Legal Business Name | CHARIS PHYSICIANS HOUSECALLS PLLC
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Dates
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Enumeration Date | 09/04/2013
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 8206 SAWGRASS LN
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City | ROWLETT
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State | TX
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Zip | 75089-4809
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Country | US
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Telephone | 469-366-9239
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Fax | 469-366-9249
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Provider Business Mailing Address
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Address Line | 8206 SAWGRASS LN
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City | ROWLETT
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State | TX
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Zip | 75089-4809
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Country | US
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Telephone | 469-366-9239
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Fax | 469-366-9249
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN ONWUELEZI
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Credential |
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Telephone | 469-366-9239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care 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 | 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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