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General NPI Number Information
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NPI Number | 1982287934
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Entity Type | Organization
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Legal Business Name | CHRISTCAN PROPERTIES & PROVISIONS
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 7126 HEATH ST
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City | HOUSTON
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State | TX
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Zip | 77016-2316
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Country | US
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Telephone | 713-291-8786
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88384
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City | HOUSTON
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State | TX
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Zip | 77288-0384
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Country | US
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Telephone | 713-291-8786
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. KENNETH DAVIS
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Credential |
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Telephone | 713-291-8786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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