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General NPI Number Information
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NPI Number | 1336200070
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Entity Type | Organization
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Legal Business Name | C&P WEKARE INCORPORATED
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 108 MARIANA DR
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City | RICHARDSON
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State | TX
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Zip | 75081-3733
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Country | US
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Telephone | 972-235-6844
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Fax | 972-231-2303
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Provider Business Mailing Address
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Address Line | 1914 FORESTDALE DR
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City | RICHARDSON
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State | TX
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Zip | 75081-2139
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Country | US
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Telephone | 214-454-7427
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Fax | 972-231-7427
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Authorized Official
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Title or Position | CEO,PRESIDENT,DIRECTOR
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Name | MRS. CONSUELLA FOLKS SCOURTEN
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Credential |
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Telephone | 214-454-7427
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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 | 101579
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License Number State | TX
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