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General NPI Number Information
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NPI Number | 1235604430
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTHCARE, LLC
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 350 S PLANO RD
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City | RICHARDSON
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State | TX
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Zip | 75081-4505
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Country | US
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Telephone | 972-485-9900
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Fax | 972-485-9901
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Provider Business Mailing Address
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Address Line | 5435 N GARLAND AVE STE 140
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City | GARLAND
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State | TX
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Zip | 75040-2787
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Country | US
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Telephone | 972-485-9900
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Fax | 972-485-9901
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MICHAEL PARKER
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Credential |
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Telephone | 972-485-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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