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General NPI Number Information
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NPI Number | 1255228409
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Entity Type | Organization
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Legal Business Name | CARDINAL RECOVERY CENTER LLC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 1414 14TH ST
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City | PLANO
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State | TX
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Zip | 75074-6302
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Country | US
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Telephone | 817-374-7552
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Fax |
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Provider Business Mailing Address
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Address Line | 2432 MAJESTIC DR
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City | PLANO
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State | TX
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Zip | 75074-2839
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Country | US
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Telephone | 817-374-7552
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DAN MARTIN YOUNKMAN
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Credential |
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Telephone | 817-374-7552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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