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General NPI Number Information
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NPI Number | 1063653814
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Entity Type | Organization
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Legal Business Name | ASSIST MANAGEMENT LLC
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Dates
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Enumeration Date | 03/08/2009
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Last Update Date | 03/08/2009
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Provider Practice Location Address
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Address Line | 2726 RENWICK DR
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City | CARROLLTON
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State | TX
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Zip | 75007-5928
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Country | US
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Telephone | 214-228-9134
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Fax |
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Provider Business Mailing Address
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Address Line | 2810 E TRINITY MILLS RD #121
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City | CARROLLTON
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State | TX
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Zip | 75006-2545
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Country | US
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Telephone | 214-228-9134
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEONORA GIBSON
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Credential | R.N.
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Telephone | 214-228-9134
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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 | 740217
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 740217
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 740217
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 740217
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License Number State | TX
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