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General NPI Number Information
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NPI Number | 1164745451
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Entity Type | Organization
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Legal Business Name | DALLAS LENDING SOURCE, LLC
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 17250 DALLAS PKWY # 201
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City | DALLAS
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State | TX
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Zip | 75248-1136
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Country | US
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Telephone | 817-870-4653
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Fax | 817-592-5979
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Provider Business Mailing Address
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Address Line | 17250 DALLAS PKWY # 201
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City | DALLAS
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State | TX
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Zip | 75248-1136
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Country | US
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Telephone | 817-870-4653
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Fax | 817-592-5979
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Authorized Official
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Title or Position | OENER
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Name | SUJATA KUMARASWAMY
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Credential | RN
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Telephone | 682-554-5313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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