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General NPI Number Information
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NPI Number | 1669703328
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Entity Type | Organization
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Legal Business Name | CDHS INC.
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 01/20/2010
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Provider Practice Location Address
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Address Line | 214 BILLINGS ST STE 240
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City | ARLINGTON
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State | TX
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Zip | 76010-5404
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Country | US
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Telephone | 817-652-1004
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Fax | 817-652-1016
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Provider Business Mailing Address
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Address Line | 214 BILLINGS ST STE 240
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City | ARLINGTON
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State | TX
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Zip | 76010-5404
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Country | US
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Telephone | 817-652-1004
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Fax | 817-652-1016
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Authorized Official
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Title or Position | CEO
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Name | MRS. JANICE D DOLAN
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Credential | LCDC,ADC LEVEL III
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Telephone | 817-652-1004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | 0000047
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License Number State | TX
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