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General NPI Number Information
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NPI Number | 1396500963
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Entity Type | Organization
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Legal Business Name | ENLIGHTEN INSURANCE & SERVICES PLLC
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 6119 UNIVERSITY HILLS BLVD
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City | DALLAS
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State | TX
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Zip | 75241-2516
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Country | US
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Telephone | 469-320-9058
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Fax |
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Provider Business Mailing Address
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Address Line | 818 FLAMINGO WAY
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4021
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Country | US
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Telephone | 214-505-8609
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TARANEY EPHRAIM-SURRELL
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Credential |
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Telephone | 214-505-8609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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