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General NPI Number Information
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NPI Number | 1588232912
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Entity Type | Organization
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Legal Business Name | C-WEST HOLDINGS
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Dates
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Enumeration Date | 06/13/2021
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Last Update Date | 06/13/2021
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Provider Practice Location Address
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Address Line | 2624 LAMAR AVE
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City | PARIS
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State | TX
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Zip | 75460-4847
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Country | US
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Telephone | 903-609-6373
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Fax | 972-534-2014
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Provider Business Mailing Address
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Address Line | 2305 WILDWOOD LN
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City | PARIS
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State | TX
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Zip | 75462-3145
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Country | US
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Telephone | 903-905-3428
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Fax | 972-534-2014
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TODD WILLIAM TRENCHARD
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Credential |
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Telephone | 903-609-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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