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General NPI Number Information
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NPI Number | 1306610639
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Entity Type | Organization
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Legal Business Name | PROCARE HOUSECALLS INC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 12/23/2023
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Provider Practice Location Address
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Address Line | 8508 SIKORSKI LN
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City | DALLAS
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State | TX
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Zip | 75228-5447
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Country | US
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Telephone | 972-904-5230
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Fax |
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Provider Business Mailing Address
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Address Line | 8508 SIKORSKI LN
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City | DALLAS
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State | TX
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Zip | 75228-5447
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Country | US
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Telephone | 972-904-5230
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Fax |
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | MR. DAVID CORIA MERLAN
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Credential |
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Telephone | 972-904-5230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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