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General NPI Number Information
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NPI Number | 1225665680
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Entity Type | Organization
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Legal Business Name | CHECK POINT HEALTH LLC
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 6207 WALNUT HILL LN
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City | DALLAS
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State | TX
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Zip | 75230-5114
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Country | US
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Telephone | 469-358-7292
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Fax |
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Provider Business Mailing Address
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Address Line | 6207 WALNUT HILL LN
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City | DALLAS
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State | TX
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Zip | 75230-5114
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Country | US
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Telephone | 469-358-7292
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | JENNA HYLAND
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Credential | RN
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Telephone | 469-660-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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