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General NPI Number Information
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NPI Number | 1295920221
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Entity Type | Organization
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Legal Business Name | DALLAS COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 419 SOUTH COCKRELL HILL RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4939
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Country | US
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Telephone | 972-708-8800
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Fax | 972-708-6184
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Provider Business Mailing Address
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Address Line | 5201 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235-7708
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Country | US
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Telephone | 214-590-8006
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Fax | 214-590-8096
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Authorized Official
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Title or Position | CEO
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Name | FREDERICK CERISE
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Credential | MD
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Telephone | 214-590-8006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | TX
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