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General NPI Number Information
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NPI Number | 1912183260
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Entity Type | Organization
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Legal Business Name | CYPRESS GIVING TREE L.L.C
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 13915 CLAYMONT HILL DR
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City | CYPRESS
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State | TX
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Zip | 77429-8055
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Country | US
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Telephone | 281-246-4134
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Fax |
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Provider Business Mailing Address
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Address Line | 13915 CLAYMONT HILL DR
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City | CYPRESS
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State | TX
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Zip | 77429-8055
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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 | OWNER/ADMINISTRATOR
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Name | MRS. JENNIFER ANNE WARREN
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Credential | LBSW
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Telephone | 281-246-4134
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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 | 009498
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License Number State | TX
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