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General NPI Number Information
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NPI Number | 1356112783
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Entity Type | Organization
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Legal Business Name | CLEAR SPRINGS LIVING, LLC
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 2810 CLEAR SPRINGS DR
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City | PLANO
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State | TX
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Zip | 75075-7506
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Country | US
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Telephone | 469-625-0705
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Fax |
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Provider Business Mailing Address
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Address Line | 1836 W VIRGINIA ST STE 102A
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City | MCKINNEY
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State | TX
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Zip | 75069-7714
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Country | US
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Telephone | 469-625-0705
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Fax | 469-678-5060
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Authorized Official
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Title or Position | OWNER
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Name | RYAN ZEESTRATEN
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Credential |
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Telephone | 903-505-1673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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