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General NPI Number Information
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NPI Number | 1689969065
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Entity Type | Organization
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Legal Business Name | CHARTERED HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 200 TANNER CREEK CIR
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City | SUNNYVALE
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State | TX
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Zip | 75182-9109
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Country | US
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Telephone | 214-320-6000
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Fax | 972-226-3337
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Provider Business Mailing Address
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Address Line | 200 TANNER CREEK CIR
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City | SUNNYVALE
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State | TX
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Zip | 75182-9109
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Country | US
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Telephone | 214-320-6000
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Fax | 972-226-3337
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Authorized Official
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Title or Position | ALT. DIRECTOR OF NURSING
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Name | MS. SUSAN KURIEN VATTACHACKAL
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Credential | RN
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Telephone | 214-320-6000
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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 |
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