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General NPI Number Information
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NPI Number | 1588815252
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Entity Type | Organization
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Legal Business Name | SOUTHEAST TEXAS ASSISTING, INC.
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 17782 FM 365 RD
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City | BEAUMONT
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State | TX
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Zip | 77705-9164
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Country | US
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Telephone | 409-794-9068
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Fax |
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Provider Business Mailing Address
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Address Line | 17782 FM 365 RD
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City | BEAUMONT
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State | TX
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Zip | 77705-9164
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Country | US
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Telephone | 409-794-9068
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Fax |
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Authorized Official
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Title or Position | RNFA
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Name | MRS. CHARITY RENEE HEIN
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Credential | RN, CNOR, RNFA
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Telephone | 409-794-9068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 677903
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License Number State | TX
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