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General NPI Number Information
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NPI Number | 1922957349
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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 | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 3250 MEDICAL CENTER DR STE B
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City | BEAUMONT
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State | TX
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Zip | 77701-4627
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Country | US
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Telephone | 409-234-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 5999 CUSTER RD STE 110-519
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City | FRISCO
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State | TX
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Zip | 75035-9302
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Country | US
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Telephone | 682-597-0672
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Fax |
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Authorized Official
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Title or Position | C.O.O
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Name | MRS. LILY PHAM-SMITH
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Credential |
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Telephone | 682-597-0672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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