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General NPI Number Information
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NPI Number | 1417326224
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Entity Type | Organization
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Legal Business Name | HARVEST TIME NURSES
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 3102 MAPLE AVE STE 400
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City | DALLAS
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State | TX
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Zip | 75201-1261
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Country | US
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Telephone | 214-517-7790
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Fax |
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Provider Business Mailing Address
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Address Line | 3102 MAPLE AVE STE 400
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City | DALLAS
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State | TX
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Zip | 75201-1261
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Country | US
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Telephone | 214-517-7790
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAROLYN BUTLER
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Credential |
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Telephone | 817-808-7291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 163542
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License Number State | TX
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