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General NPI Number Information
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NPI Number | 1023684388
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Entity Type | Organization
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Legal Business Name | ACTOS FAMILY SERVICES
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 3924 PARKHAVEN DR
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City | DENTON
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State | TX
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Zip | 76210-3424
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Country | US
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Telephone | 214-283-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 13526 CHALLABURTON DR
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-5030
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Country | US
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Telephone | 214-283-9777
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JULIA CATALINA YOUNG
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Credential | BSS
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Telephone | 214-283-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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