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General NPI Number Information
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NPI Number | 1093860744
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Entity Type | Organization
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Legal Business Name | COMMUNITY SERVICE ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3502 BLUE LAKE DR
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City | SPRING
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State | TX
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Zip | 77388-5103
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Country | US
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Telephone | 281-355-8260
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Fax | 281-355-0567
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Provider Business Mailing Address
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Address Line | 4008 LOUETTA RD. #179
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City | SPRING
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State | TX
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Zip | 77388
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Country | US
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Telephone | 281-355-8260
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Fax | 281-355-0567
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHRISTINE CUNDIFF
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Credential |
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Telephone | 281-355-8260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | TX
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