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General NPI Number Information
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NPI Number | 1619837127
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Entity Type | Individual
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Provider Name | CRYSTAL JANES LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 2800 SHORELINE DR STE 260
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City | DENTON
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State | TX
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Zip | 76210-4400
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Country | US
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Telephone | 940-360-0106
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Fax |
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Provider Business Mailing Address
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Address Line | 9898 VAIL ETON DR
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City | PILOT POINT
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State | TX
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Zip | 76258-6752
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Country | US
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Telephone | 682-298-1949
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 116899
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License Number State | TX
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