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General NPI Number Information
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NPI Number | 1962786608
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Entity Type | Organization
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Legal Business Name | C&I HOLDINGS, LLC
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 16303 GRANT RD
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City | CYPRESS
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State | TX
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Zip | 77429-1253
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Country | US
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Telephone | 281-516-6186
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Fax |
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Provider Business Mailing Address
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Address Line | 16303 GRANT RD
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City | CYPRESS
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State | TX
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Zip | 77429-1253
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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 | MANAGER, MEMBER, ADMINISTRATOR
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Name | MR. NATHAN INGRAM
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Credential |
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Telephone | 281-914-1012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 100114
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License Number State | TX
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