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General NPI Number Information
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NPI Number | 1629469820
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE MANAGEMENT PARTNERS IN HEALTH PLLC
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Dates
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Enumeration Date | 02/10/2015
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 28612 IDLELOCH DR
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City | HUFFMAN
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State | TX
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Zip | 77336-3650
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Country | US
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Telephone | 713-376-4353
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Fax | 281-324-6928
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Provider Business Mailing Address
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Address Line | PO BOX 11358
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City | HOUSTON
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State | TX
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Zip | 77293-1358
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Country | US
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Telephone | 713-376-4353
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Fax | 281-324-6928
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Authorized Official
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Title or Position | MEMBER
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Name | DR. SABRINA C. MILLER
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Credential | DNP, MS, APRN
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Telephone | 713-385-7809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | AP110781
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number | AP110781
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AP110781
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AP110781
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | AP110781
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License Number State | TX
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