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General NPI Number Information
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NPI Number | 1144467952
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Entity Type | Organization
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Legal Business Name | COMMUNITY MANAGEMENT
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 6201 TECHNOLOGY DR SUITE 120
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City | FRISCO
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State | TX
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Zip | 75034-3264
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Country | US
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Telephone | 469-296-0033
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Fax | 214-975-1994
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Provider Business Mailing Address
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Address Line | PO BOX 1283
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City | PROSPER
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State | TX
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Zip | 75078-1283
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Country | US
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Telephone | 469-296-0033
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Fax | 214-975-1994
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEAN T WILLIAMS
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Credential |
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Telephone | 214-251-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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