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General NPI Number Information
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NPI Number | 1528209764
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Entity Type | Organization
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Legal Business Name | C&S CONSTRUCTION
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10481 JONES AVE
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City | KING GEORGE
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State | VA
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Zip | 22485-3924
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Country | US
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Telephone | 540-775-3867
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Fax |
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Provider Business Mailing Address
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Address Line | 10481 JONES AVE
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City | KING GEORGE
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State | VA
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Zip | 22485-3924
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Country | US
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Telephone | 540-775-3867
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Fax |
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Authorized Official
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Title or Position | CONTRACTOR
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Name | CHAD MICHAEL MARTIN
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Credential |
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Telephone | 540-775-3867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | 4
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License Number State | VA
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