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General NPI Number Information
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NPI Number | 1285716399
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Entity Type | Organization
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Legal Business Name | TOTAL CONCEPT, INC.
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7515 GREENVILLE AVE STE. 307
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City | DALLAS
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State | TX
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Zip | 75231-3831
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Country | US
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Telephone | 972-934-2555
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Fax | 972-934-7000
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Provider Business Mailing Address
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Address Line | 7515 GREENVILLE AVE STE 307
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City | DALLAS
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State | TX
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Zip | 75231-3853
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Country | US
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Telephone | 972-934-2555
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Fax | 972-934-7000
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. MARIA DEVINE ORIG
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Credential | RN
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Telephone | 972-934-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 003344
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License Number State | TX
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