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General NPI Number Information
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NPI Number | 1346526159
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Entity Type | Organization
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Legal Business Name | DALLAS HEALTHY START
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 4917 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235-7718
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Country | US
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Telephone | 214-590-1670
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Fax |
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Provider Business Mailing Address
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Address Line | 4917 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235-7718
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Country | US
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Telephone | 214-590-1670
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | EULALIA GUILLUM-ROBERSON
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Credential |
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Telephone | 214-590-1670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 553655
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License Number State | TX
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