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General NPI Number Information
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NPI Number | 1831996354
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Entity Type | Organization
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Legal Business Name | CENTAURI HEALTHCARE GROUP L.L.C.
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 9950 WESTPARK DR STE 285
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City | HOUSTON
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State | TX
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Zip | 77063-5275
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Country | US
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Telephone | 281-201-4408
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Fax | 281-201-4408
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Provider Business Mailing Address
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Address Line | 9950 WESTPARK DR STE 285
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City | HOUSTON
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State | TX
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Zip | 77063-5275
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Country | US
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Telephone | 281-201-4408
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Fax | 903-405-4746
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Authorized Official
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Title or Position | CEO
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Name | DR. JASON J WU
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Credential | PHARM D
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Telephone | 469-396-1104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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