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General NPI Number Information
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NPI Number | 1528496262
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Entity Type | Organization
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Legal Business Name | DENSON TEXAS HOLDINGS LLC
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 1621 23RD ST
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City | GALVESTON
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State | TX
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Zip | 77550-4503
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Country | US
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Telephone | 979-308-1594
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Fax |
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Provider Business Mailing Address
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Address Line | 228 CANYON OAK DR
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City | LAKE JACKSON
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State | TX
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Zip | 77566-4599
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Country | US
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Telephone | 979-308-1594
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON CHAVEZ
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Credential |
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Telephone | 979-285-9518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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