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General NPI Number Information
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NPI Number | 1902013311
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Entity Type | Organization
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Legal Business Name | FSC, INC.
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 219 SUNSET AVE SUITE 101B
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City | DALLAS
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State | TX
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Zip | 75208-4599
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Country | US
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Telephone | 214-942-8808
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Fax | 214-941-8508
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Provider Business Mailing Address
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Address Line | 219 SUNSET AVE SUITE 101B
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City | DALLAS
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State | TX
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Zip | 75208-4599
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Country | US
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Telephone | 214-942-8808
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Fax | 214-941-8508
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. GWENN S. WOODARD
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Credential |
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Telephone | 214-942-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 650A
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 650B
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License Number State | TX
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