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General NPI Number Information
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NPI Number | 1265619068
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Entity Type | Organization
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Legal Business Name | TC ALLEN HOSPITAL LP
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 1001 RAINTREE CIR
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City | ALLEN
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State | TX
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Zip | 75013-4912
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Country | US
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Telephone | 972-908-2000
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Fax | 972-908-2131
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Provider Business Mailing Address
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Address Line | 1001 RAINTREE CIR
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City | ALLEN
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State | TX
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Zip | 75013-4912
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Country | US
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Telephone | 972-908-2000
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Fax | 972-908-2131
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Authorized Official
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Title or Position | CEO
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Name | MR. RICK TICHENOR
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Credential |
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Telephone | 972-908-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 008639
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License Number State | TX
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