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General NPI Number Information
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NPI Number | 1184262016
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Entity Type | Organization
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Legal Business Name | MARILYN PERSONAL CARE SERVICES, INC.
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Dates
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Enumeration Date | 12/10/2019
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Last Update Date | 02/22/2020
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Provider Practice Location Address
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Address Line | 217 HAVENWOOD LN
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City | GARLAND
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State | TX
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Zip | 75043-8911
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Country | US
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Telephone | 214-507-3592
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Fax |
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Provider Business Mailing Address
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Address Line | 9027 GUILDHALL DR
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City | DALLAS
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State | TX
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Zip | 75238-3533
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Country | US
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Telephone | 214-507-3592
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Fax |
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | MRS. SUSAN HIBBS
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Credential |
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Telephone | 214-507-3592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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