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General NPI Number Information
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NPI Number | 1194931188
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Entity Type | Organization
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Legal Business Name | TOWN HALL ADULT DAY CARE OAK CLIFF INC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 226 E 10TH ST
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City | DALLAS
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State | TX
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Zip | 75203-2238
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Country | US
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Telephone | 214-948-8892
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Fax | 214-943-7248
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Provider Business Mailing Address
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Address Line | 226 E 10TH ST
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City | DALLAS
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State | TX
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Zip | 75203-2238
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Country | US
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Telephone | 214-948-8892
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Fax | 214-943-7248
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Authorized Official
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Title or Position | CORPORATE DIRECTOR
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Name | CHERI BETH CHONG
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Credential | M.A., PHD.
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Telephone | 817-437-6657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 117378
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License Number State | TX
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