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General NPI Number Information
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NPI Number | 1083007728
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE INTEGRATED HEALTHCARE LLC
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 7557 RAMBLER RD STE 110
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City | DALLAS
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State | TX
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Zip | 75231-2306
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Country | US
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Telephone | 214-507-2831
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Fax | 214-507-2831
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Provider Business Mailing Address
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Address Line | 11700 PRESTON RD STE 660 PMB 426
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City | DALLAS
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State | TX
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Zip | 75230
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Country | US
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Telephone | 972-587-7246
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Fax | 214-613-6979
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | CURTIS LEE ADAMS
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Credential | FNP
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Telephone | 972-587-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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