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General NPI Number Information
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NPI Number | 1184008807
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Entity Type | Organization
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Legal Business Name | FAMILIA CARE, INC.
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 3247 DAWES DR
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City | DALLAS
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State | TX
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Zip | 75211-5760
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Country | US
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Telephone | 214-330-7767
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Fax | 214-330-7780
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Provider Business Mailing Address
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Address Line | 222 LAS COLINAS BLVD W STE 2000
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City | IRVING
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State | TX
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Zip | 75039-5440
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Country | US
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Telephone | 972-957-3000
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Fax | 469-341-0488
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Authorized Official
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Title or Position | SR. DIRECTOR OF OPERATIONS
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Name | CHRISTY VEDIA
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Credential |
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Telephone | 972-957-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29997
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License Number State | TX
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