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General NPI Number Information
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NPI Number | 1639349863
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Entity Type | Organization
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Legal Business Name | CWO LLC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 604 GARLAND ST
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City | PLAINVIEW
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State | TX
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Zip | 79072
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Country | US
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Telephone | 806-293-2689
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Fax | 806-296-0199
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Provider Business Mailing Address
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Address Line | 604 GARLAND ST
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City | PLAINVIEW
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State | TX
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Zip | 79072
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Country | US
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Telephone | 806-293-2689
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Fax | 806-296-0199
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Authorized Official
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Title or Position | OWNER CFO
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Name | MR. RANDELL WAYNE ORCUTT
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Credential | RPH
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Telephone | 806-293-2689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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