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General NPI Number Information
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NPI Number | 1851576276
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Entity Type | Organization
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Legal Business Name | CERTIFIED MANAGED CARE SERVICES, INC.
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 9314 SUMMERBELL LN
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City | HOUSTON
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State | TX
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Zip | 77074-1343
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Country | US
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Telephone | 713-995-5050
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Fax | 713-995-5000
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Provider Business Mailing Address
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Address Line | 9314 SUMMERBELL LN
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City | HOUSTON
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State | TX
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Zip | 77074-1343
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Country | US
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Telephone | 713-995-5050
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Fax | 713-995-5000
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LAURA N KANU
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Credential | RN,BSN
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Telephone | 713-995-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 595403
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License Number State | TX
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