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General NPI Number Information
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NPI Number | 1003284100
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Entity Type | Organization
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Legal Business Name | ENTERHEALTH
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 8222 DOUGLAS AVE
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City | DALLAS
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State | TX
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Zip | 75225-5923
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Country | US
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Telephone | 214-905-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 8222 DOUGLAS AVE
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City | DALLAS
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State | TX
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Zip | 75225-5923
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Country | US
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Telephone | 214-905-5090
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Fax |
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Authorized Official
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Title or Position | CHIEF OF MEDICAL STRATEGY
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Name | DR. HAROLD C URSCHEL III
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Credential | M.D.
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Telephone | 214-905-5090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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