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General NPI Number Information
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NPI Number | 1285071035
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Entity Type | Organization
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Legal Business Name | CEDAR WOODS INT'L HEALTH CARE, INC.
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 505 EXCHANGE PKWY APT 2304
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City | ALLEN
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State | TX
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Zip | 75002-1752
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Country | US
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Telephone | 214-725-9559
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Fax |
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Provider Business Mailing Address
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Address Line | 505 EXCHANGE PKWY, #2304
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City | ALLEN
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State | TX
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Zip | 75002-1752
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Country | US
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Telephone | 214-725-9559
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | LITA S. DEJESUS
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Credential |
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Telephone | 214-725-9559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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