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General NPI Number Information
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NPI Number | 1770877169
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Entity Type | Organization
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Legal Business Name | CTWF, LLC
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 1106 TRAVIS ST SUITE 110
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4676
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Country | US
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Telephone | 940-322-3777
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Fax | 940-723-8081
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Provider Business Mailing Address
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Address Line | 1106 TRAVIS ST SUITE 140
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4676
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Country | US
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Telephone | 940-322-3777
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Fax | 940-723-8081
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Authorized Official
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Title or Position | OWNER
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Name | MS. LACEY MORGAN
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Credential |
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Telephone | 940-322-3777
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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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