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General NPI Number Information
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NPI Number | 1699147330
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Entity Type | Organization
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Legal Business Name | CHASE-N-CHASNEA ENTERPRISE LLC
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 1306 WEINER ST
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City | LUFKIN
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State | TX
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Zip | 75904
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Country | US
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Telephone | 832-919-6607
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Fax | 936-398-6880
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Provider Business Mailing Address
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Address Line | 1306 WEINER ST
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City | LUFKIN
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State | TX
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Zip | 75904
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Country | US
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Telephone | 832-919-6607
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Fax | 936-398-6880
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Authorized Official
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Title or Position | CEO
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Name | MS. PATRICIA L PEACOCK-CARTER
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Credential | R.N.
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Telephone | 936-632-2636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 653376
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 653376
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License Number State | TX
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