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General NPI Number Information
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NPI Number | 1093677023
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Entity Type | Organization
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Legal Business Name | CRYSTAL OAKS CARE HOMES LLC
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 17728 SANDWICK DRIVE
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City | PFLUGERVILLE
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State | TX
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Zip | 78660
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Country | US
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Telephone | 714-408-0914
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Fax | 714-880-3179
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Provider Business Mailing Address
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Address Line | 10601 CLARENCE DR
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City | FRISCO
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State | TX
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Zip | 75033-3864
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Country | US
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Telephone | 714-408-0914
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Fax | 714-880-3179
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Authorized Official
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Title or Position | OWNER
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Name | MR. MUNDEEP CHAND SHINMAR
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Credential | N/A
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Telephone | 714-408-0914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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