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General NPI Number Information
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NPI Number | 1336732361
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Entity Type | Organization
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Legal Business Name | C SQUARED FACILITIES, LLC
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Dates
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Enumeration Date | 02/20/2021
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Last Update Date | 02/20/2021
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Provider Practice Location Address
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Address Line | 405 STATE HIGHWAY 121 BYP STE A250
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City | LEWISVILLE
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State | TX
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Zip | 75067-4183
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Country | US
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Telephone | 469-444-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 405 STATE HIGHWAY 121 BYP STE A250
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City | LEWISVILLE
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State | TX
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Zip | 75067-4183
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Country | US
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Telephone | 469-444-3700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CRYSTAL CHANG
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Credential |
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Telephone | 469-278-7505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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