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General NPI Number Information
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NPI Number | 1841588431
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEDICAL AND MENTAL HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 4846 LAZY TIMBERS DR
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City | HUMBLE
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State | TX
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Zip | 77346-4455
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Country | US
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Telephone | 713-541-0810
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Fax | 866-924-6348
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Provider Business Mailing Address
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Address Line | 4846 LAZY TIMBERS DR
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City | HUMBLE
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State | TX
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Zip | 77346-4455
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Country | US
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Telephone | 713-541-0810
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Fax | 866-924-6348
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHEDRIC L COX
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Credential |
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Telephone | 713-541-0810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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