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General NPI Number Information
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NPI Number | 1356133615
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Entity Type | Organization
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Legal Business Name | ETHICUS HOSPITAL DFW, LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1401 E TRINITY MILLS RD
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City | CARROLLTON
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State | TX
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Zip | 75006-1442
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Country | US
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Telephone | 972-810-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 E TRINITY MILLS RD
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City | CARROLLTON
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State | TX
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Zip | 75006-1442
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Country | US
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Telephone | 972-810-0700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JORDAN FOWLER
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Credential |
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Telephone | 817-421-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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