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General NPI Number Information
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NPI Number | 1336964816
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Entity Type | Organization
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Legal Business Name | TRUCARE CLINIC INC.
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 2150 S STATE HIGHWAY 121
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City | LEWISVILLE
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State | TX
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Zip | 75067-6577
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Country | US
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Telephone | 833-843-3009
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Fax |
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Provider Business Mailing Address
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Address Line | 5 COWBOYS WAY STE 300
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City | FRISCO
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State | TX
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Zip | 75034-2074
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Country | US
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Telephone | 833-843-3009
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | JOVAN CHAPMAN
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Credential |
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Telephone | 240-938-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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