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General NPI Number Information
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NPI Number | 1952527475
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Entity Type | Organization
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Legal Business Name | CSA ENTERPRISE, INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3309 SEDONA LN
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City | MCKINNEY
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State | TX
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Zip | 75070-4455
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Country | US
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Telephone | 214-552-8128
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Fax |
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Provider Business Mailing Address
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Address Line | 15707 COIT RD STE C 119
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City | DALLAS
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State | TX
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Zip | 75248-4463
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Country | US
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Telephone | 214-552-8128
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Fax | 972-542-8799
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DWANNA L SWAN
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Credential | MS
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Telephone | 214-552-8128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | TX
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