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General NPI Number Information
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NPI Number | 1356925937
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Entity Type | Organization
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Legal Business Name | ILERACO,LLC
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 8408 BROOKSBY DR
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City | PLANO
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State | TX
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Zip | 75024-3758
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Country | US
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Telephone | 214-558-4317
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Fax | 866-506-6660
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Provider Business Mailing Address
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Address Line | PO BOX 701385
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City | DALLAS
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State | TX
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Zip | 75370-1385
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Country | US
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Telephone | 469-558-4317
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Fax | 866-506-6660
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. ADRIAN D. BOOKER SR.
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Credential | QMHP
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Telephone | 469-558-4317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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Taxonomy #5
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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Taxonomy #6
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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Taxonomy #7
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #9
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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Taxonomy #10
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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Taxonomy #11
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Taxonomy Code | 261QM1100X
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Taxonomy Name | Military/U.S. Coast Guard Outpatient Clinic/Center
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License Number |
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Taxonomy #12
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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Taxonomy #13
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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Taxonomy #14
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #15
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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