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General NPI Number Information
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NPI Number | 1770167637
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Entity Type | Organization
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Legal Business Name | SPEARS COMMUNITY HOMES CHILD & FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 04/19/2026
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Provider Practice Location Address
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Address Line | 4420 BARSTOW BLVD
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City | DALLAS
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State | TX
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Zip | 75236-2102
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Country | US
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Telephone | 469-399-1747
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Fax | 972-230-2935
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Provider Business Mailing Address
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Address Line | 1501 TANGLEROSE CT
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City | DESOTO
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State | TX
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Zip | 75115-7843
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Country | US
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Telephone | 214-815-7632
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Fax | 972-230-2935
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Authorized Official
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Title or Position | PRESIDENT/ PROGRAM MANAGER
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Name | MRS. CHIQUITA DENEEN SPEARS
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Credential |
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Telephone | 214-815-7632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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