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General NPI Number Information
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NPI Number | 1275817223
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Entity Type | Organization
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Legal Business Name | THE SAMARITAN INN, INC
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 1725 NTH MCDONALD STREET
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City | MCKINNEY
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State | TX
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Zip | 75071-8229
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Country | US
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Telephone | 972-632-1290
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Fax | 972-632-1297
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Provider Business Mailing Address
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Address Line | 1725 NTH MCDONALD STREET
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City | MCKINNEY
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State | TX
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Zip | 75071-8229
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Country | US
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Telephone | 972-632-1290
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Fax | 972-632-1297
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. JAMES N MALATICH
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Credential |
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Telephone | 972-632-1290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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