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General NPI Number Information
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NPI Number | 1235637992
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Entity Type | Organization
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Legal Business Name | ENZO BC LLC
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 825 WATTERS CREEK BLVD STE 250
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City | ALLEN
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State | TX
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Zip | 75013-3770
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Country | US
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Telephone | 972-996-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 3710 RAWLINS ST STE 950
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City | DALLAS
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State | TX
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Zip | 75219-4237
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE MILIAN
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Credential |
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Telephone | 817-233-5859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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