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General NPI Number Information
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NPI Number | 1386280378
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Entity Type | Organization
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Legal Business Name | RESILIENT HEALTHCARE INC
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 5700 GRANITE PKWY STE 370
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City | PLANO
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State | TX
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Zip | 75024-6625
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Country | US
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Telephone | 888-874-0852
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 GRANITE PKWY STE 370
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City | PLANO
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State | TX
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Zip | 75024-6625
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JACKLEEN JONES
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Credential | PT DPT
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Telephone | 732-429-2102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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