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General NPI Number Information
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NPI Number | 1083021364
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Entity Type | Organization
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Legal Business Name | TRUCARE PERSONAL CARE SERVICES, LLC
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 1506 W PIONEER PKWY 220
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City | ARLINGTON
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State | TX
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Zip | 76013-6230
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Country | US
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Telephone | 682-276-1715
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Fax | 844-273-5390
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Provider Business Mailing Address
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Address Line | 3917 PYRACANTHA DR
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City | ARLINGTON
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State | TX
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Zip | 76017-4646
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Country | US
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Telephone | 214-924-8133
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Fax | 844-273-5390
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | TANGULON GARDNER
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Credential |
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Telephone | 214-924-8133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | TX
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