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General NPI Number Information
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NPI Number | 1275717944
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Entity Type | Organization
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Legal Business Name | RODCOR, LLC
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 4545 FULLER DR SUITE 415
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City | IRVING
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State | TX
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Zip | 75038-6502
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Country | US
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Telephone | 972-650-3527
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Fax | 972-650-6835
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Provider Business Mailing Address
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Address Line | 4545 FULLER DR SUITE 415
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City | IRVING
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State | TX
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Zip | 75038-6502
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Country | US
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Telephone | 972-650-3527
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Fax | 972-650-6835
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Authorized Official
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Title or Position | CEO
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Name | MRS. SHERYL L JONES
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Credential |
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Telephone | 972-650-3527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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