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General NPI Number Information
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NPI Number | 1023944972
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Entity Type | Organization
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Legal Business Name | CSC STUDIO PLLC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 230 PARKING WAY ST
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City | LAKE JACKSON
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State | TX
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Zip | 77566-5227
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Country | US
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Telephone | 979-418-6020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 305
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City | LAKE JACKSON
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State | TX
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Zip | 77566-0305
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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
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Name | STACI BRADEN
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Credential | DC
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Telephone | 979-418-6020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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