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General NPI Number Information
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NPI Number | 1699810028
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Entity Type | Organization
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Legal Business Name | CHAMELEON HEALTH SERIVES LLC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10161 HARWIN DR STE. 106
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City | HOUSTON
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State | TX
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Zip | 77036-1685
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Country | US
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Telephone | 281-778-7467
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Fax |
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Provider Business Mailing Address
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Address Line | 10161 HARWIN DR STE. 106
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City | HOUSTON
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State | TX
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Zip | 77036-1685
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | DELPHINA C AMUNEKE-OTUFALE
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Credential |
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Telephone | 281-778-7467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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