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General NPI Number Information
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NPI Number | 1548376866
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Entity Type | Organization
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Legal Business Name | CHARTWELL HOME THERAPIES
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 3630 BUSINESS DR
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City | SACRAMENTO
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State | CA
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Zip | 95820-2163
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Country | US
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Telephone | 916-452-3253
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Fax | 916-454-3586
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Provider Business Mailing Address
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Address Line | 5491 CARLSON DR
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City | SACRAMENTO
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State | CA
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Zip | 95819-2435
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Country | US
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Telephone | 916-452-3253
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Fax | 916-454-3586
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | LAURIE ROSE
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Credential |
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Telephone | 916-475-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PHY42047
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License Number State | CA
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