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General NPI Number Information
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NPI Number | 1720679178
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Entity Type | Individual
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Provider Name | CASSANDRA TANYA CHNG
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Gender | Female
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 5505 ROWLETT RD STE 200
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City | ROWLETT
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State | TX
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Zip | 75089-4028
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Country | US
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Telephone | 469-487-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 TIMBERCREEK DR
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City | GARLAND
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State | TX
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Zip | 75042-4750
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Country | US
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Telephone | 214-226-6481
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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 | 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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