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General NPI Number Information
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NPI Number | 1033382908
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Entity Type | Organization
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Legal Business Name | DALLAS CENTER OF REHABILITATION LLC
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 07/11/2013
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Provider Practice Location Address
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Address Line | 4200 LIVE OAK ST.
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City | DALLAS
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State | TX
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Zip | 75204-7041
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Country | US
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Telephone | 214-821-0050
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Fax | 214-821-0051
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Provider Business Mailing Address
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Address Line | 4200 LIVE OAK ST.
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City | DALLAS
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State | TX
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Zip | 75204-7041
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Country | US
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Telephone | 214-821-0050
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Fax | 214-821-0051
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Authorized Official
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Title or Position | GOVERNING BODY
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Name | MS. KELLY DELK
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Credential |
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Telephone | 949-282-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 126452
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License Number State | TX
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