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General NPI Number Information
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NPI Number | 1245638089
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Entity Type | Organization
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Legal Business Name | DLS & ASSOCIATES LLC
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 1601 LANCASTER DR SUITE 20-B
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City | GRAPEVINE
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State | TX
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Zip | 76051-2109
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Country | US
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Telephone | 817-328-2260
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 LANCASTER DR SUITE 20-B
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City | GRAPEVINE
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State | TX
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Zip | 76051-2109
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Country | US
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Telephone | 817-308-9364
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DORETTA SPATES
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Credential | NP
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Telephone | 817-308-9364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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