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General NPI Number Information
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NPI Number | 1306006119
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Entity Type | Organization
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Legal Business Name | NURSES MEDICAL CARE CLINIC
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 2420 N INTERSTATE 35 E 103
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City | LANCASTER
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State | TX
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Zip | 75134-2110
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Country | US
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Telephone | 972-293-5301
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 N INTERSTATE 35 E 103
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City | LANCASTER
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State | TX
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Zip | 75134-2110
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Country | US
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Telephone | 972-293-5301
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RUTHEL WOOLEN
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Credential | LVN/PH.D
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Telephone | 972-293-5301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 112715
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License Number State | TX
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