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General NPI Number Information
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NPI Number | 1255825394
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Entity Type | Organization
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Legal Business Name | DAYSPRING THERAPEUTIC EQUESTRIAN CENTER OF HARRISON COUNTY INC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2609 FERN LAKE CUTOFF
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City | MARSHALL
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State | TX
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Zip | 75672
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Country | US
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Telephone | 817-980-2535
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 FERN LAKE CUTOFF
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City | MARSHALL
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State | TX
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Zip | 75672
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Country | US
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Telephone | 817-980-2535
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Fax |
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Authorized Official
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Title or Position | FOUNDER/EXECUTIVE DIRECTOR
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Name | SHERYL KAY FOGLE
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Credential |
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Telephone | 817-980-2535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | TX
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