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General NPI Number Information
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NPI Number | 1598458861
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Entity Type | Organization
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Legal Business Name | CHS TX, INC.
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 205 POWELL PL STE 104
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City | BRENTWOOD
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State | TN
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Zip | 37027-7522
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Country | US
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Telephone | 314-791-2054
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Fax |
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Provider Business Mailing Address
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Address Line | 205 POWELL PL STE 104
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City | BRENTWOOD
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State | TN
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Zip | 37027-7522
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Country | US
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Telephone | 314-791-2054
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Fax |
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | J SCOTT KING
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Credential |
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Telephone | 615-428-7152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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