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General NPI Number Information
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NPI Number | 1295943272
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Entity Type | Organization
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Legal Business Name | POINT OF CARE COLLABORATIVES,INC PPC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 06/11/2014
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Provider Practice Location Address
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Address Line | 1428 EDGEWOOD CIR
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City | LUFKIN
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State | TX
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Zip | 75904-7631
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Country | US
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Telephone | 936-675-3176
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Fax | 936-639-8822
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Provider Business Mailing Address
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Address Line | 1428 EDGEWOOD CIR
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City | LUFKIN
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State | TX
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Zip | 75904-7631
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Country | US
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Telephone | 936-675-3176
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Fax | 936-639-8822
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Authorized Official
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Title or Position | CEO
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Name | MS. PHYLLIS C WINDER
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Credential | FNP
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Telephone | 936-675-3176
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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 | 518626
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License Number State | TX
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