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General NPI Number Information
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NPI Number | 1366174369
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Entity Type | Organization
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Legal Business Name | YOUR SPECIAL HELPER
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 163 PARKHOUSE ST # 1048
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City | DALLAS
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State | TX
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Zip | 75207-7211
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Country | US
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Telephone | 972-372-4867
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Fax |
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Provider Business Mailing Address
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Address Line | 3418 MEADOW OAKS DR
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City | GARLAND
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State | TX
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Zip | 75043-6231
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Country | US
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Telephone | 248-854-5521
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHANTEL JONES
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Credential |
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Telephone | 248-854-5521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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