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General NPI Number Information
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NPI Number | 1467778092
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Entity Type | Organization
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Legal Business Name | CSSAL LP
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 3776 SULLIVAN ST STE I
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City | MADISON
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State | AL
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Zip | 35758-2344
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Country | US
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Telephone | 256-274-4201
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Fax | 256-350-3204
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Provider Business Mailing Address
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Address Line | 201 E PARK AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4657
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY ADAM SALTER
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Credential |
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Telephone | 210-757-4650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 17233
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License Number State | AL
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