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General NPI Number Information
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NPI Number | 1225745284
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Entity Type | Organization
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Legal Business Name | CLINIC SECURITY AND LOGISTICS, INC.
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 4977 NORTHCUTT PL
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City | DAYTON
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State | OH
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Zip | 45414-3839
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Country | US
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Telephone | 937-387-6395
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Fax |
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Provider Business Mailing Address
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Address Line | 6788 LOOP RD
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City | DAYTON
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State | OH
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Zip | 45459-2161
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Country | US
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Telephone | 800-829-5461
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE DIRECTOR
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Name | KAREN CRANE-JACKSON
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Credential |
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Telephone | 800-829-5461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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