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General NPI Number Information
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NPI Number | 1396848859
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Entity Type | Organization
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Legal Business Name | WELLNESS CARE CENTER OF ROWLETT, LTD
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 880 E INTERSTATE 30
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City | GARLAND
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State | TX
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Zip | 75043-4120
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Country | US
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Telephone | 214-607-4000
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Fax | 214-607-4044
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Provider Business Mailing Address
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Address Line | 880 E INTERSTATE 30
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City | GARLAND
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State | TX
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Zip | 75043-4120
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Country | US
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Telephone | 214-607-4000
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Fax | 214-607-4044
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DEBORAH DIANE DURHAM
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Credential |
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Telephone | 469-831-2541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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