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General NPI Number Information
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NPI Number | 1790642809
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Entity Type | Organization
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Legal Business Name | CRYSTAL CLEAR COMMUNICATION, LLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 233 W BOND AVE
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-3907
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Country | US
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Telephone | 662-590-3581
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Fax |
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Provider Business Mailing Address
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Address Line | 5687 PORT STACY DR
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City | HORN LAKE
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State | MS
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Zip | 38637-4404
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Country | US
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Telephone | 662-590-3581
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Fax | 662-590-3581
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KRISTAL YOUNG
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Credential | M.S., CCC-SLP
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Telephone | 662-590-3581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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