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General NPI Number Information
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NPI Number | 1912852575
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Entity Type | Organization
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Legal Business Name | CREATIVE SUPPORT SERVICES INC
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 9900 LAKEWOOD BLVD STE 202 STE 202
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City | DOWNEY
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State | CA
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Zip | 90240-4052
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Country | US
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Telephone | 562-986-8572
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 LAKEWOOD BLVD STE 202
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City | DOWNEY
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State | CA
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Zip | 90240-4052
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Country | US
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Telephone | 562-986-8572
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KEVA ROYAL
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Credential |
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Telephone | 562-986-8572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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