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General NPI Number Information
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NPI Number | 1003780602
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Entity Type | Organization
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Legal Business Name | THRONE ROOM (TRIM)
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 4800 CABLE DR
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City | FORT WORTH
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State | TX
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Zip | 76137-3323
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Country | US
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Telephone | 817-657-1153
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Fax | 817-657-1153
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Provider Business Mailing Address
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Address Line | 4364 WESTERN CENTER BLVD # 2219
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City | FORT WORTH
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State | TX
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Zip | 76137-2043
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Country | US
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Telephone | 817-657-1153
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NEIL WAYNE MORRIS
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Credential |
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Telephone | 817-657-1153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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