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General NPI Number Information
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NPI Number | 1265175624
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Entity Type | Organization
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Legal Business Name | TOTAL ELDER CARE, LLC
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 5274 FREESTONE CIRCLE
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City | DALLAS
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State | TX
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Zip | 75227
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Country | US
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Telephone | 214-244-9452
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Fax |
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Provider Business Mailing Address
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Address Line | 381 CASA LINDA PLZ STE 123
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City | DALLAS
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State | TX
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Zip | 75218-3471
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Country | US
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Telephone | 214-244-9452
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARL JONES
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Credential |
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Telephone | 214-244-9452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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