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General NPI Number Information
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NPI Number | 1952197527
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Entity Type | Organization
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Legal Business Name | CHRISTALINE STUDIOS
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 537A N TRADE ST
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City | WINSTON SALEM
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State | NC
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Zip | 27101-2914
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Country | US
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Telephone | 336-577-0157
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Fax |
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Provider Business Mailing Address
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Address Line | 537A N TRADE ST
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City | WINSTON SALEM
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State | NC
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Zip | 27101-2914
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Country | US
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Telephone | 336-577-0157
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Fax |
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Authorized Official
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Title or Position | CEO AND FOUNDER
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Name | MRS. CHRISTAL SCHANES
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Credential |
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Telephone | 336-577-0157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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