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General NPI Number Information
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NPI Number | 1285340034
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Entity Type | Individual
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Provider Name | CRYSTAL S CARRIERE ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 3480 FANNIN ST STE J
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City | BEAUMONT
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State | TX
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Zip | 77701-3804
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Country | US
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Telephone | 409-229-3873
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Fax |
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Provider Business Mailing Address
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Address Line | 890 BINGMAN ST
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City | BEAUMONT
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State | TX
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Zip | 77705-5913
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Country | US
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Telephone | 409-225-1209
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number | 310620
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | 022944
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 022944
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 022944
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License Number State | TX
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