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General NPI Number Information
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NPI Number | 1225101819
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Entity Type | Organization
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Legal Business Name | AMICUS HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2026 VZCR 2205
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City | CANTON
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State | TX
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Zip | 75103
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Country | US
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Telephone | 817-919-7495
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Fax | 903-567-1371
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Provider Business Mailing Address
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Address Line | 2026 VZCR 2205
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City | CANTON
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State | TX
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Zip | 75103
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Country | US
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Telephone | 817-919-7495
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Fax | 903-567-1371
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN D PETERSON
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Credential | LNFA
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Telephone | 817-919-7495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | TX
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