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General NPI Number Information
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NPI Number | 1144840919
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Entity Type | Organization
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Legal Business Name | STRATEGIC MANAGEMENT SERVICES LLC
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 13727 NOEL RD STE 200
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City | DALLAS
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State | TX
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Zip | 75240-1338
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Country | US
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Telephone | 469-250-1339
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Fax | 469-398-8040
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Provider Business Mailing Address
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Address Line | 101 S COIT RD STE 36-320
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City | RICHARDSON
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State | TX
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Zip | 75080-5743
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Country | US
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Telephone | 469-250-1339
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Fax | 469-398-8040
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Authorized Official
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Title or Position | OWNER
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Name | DYRON DURHAM
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Credential |
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Telephone | 469-250-1339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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