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General NPI Number Information
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NPI Number | 1427560317
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Entity Type | Organization
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Legal Business Name | ABI-CARE LLC
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 12/24/2021
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Provider Practice Location Address
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Address Line | 4407 EMERALD LEAF DR
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City | MANSFIELD
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State | TX
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Zip | 76063-5545
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Country | US
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Telephone | 443-600-8858
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 LAKESIDE DR
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City | ARLINGTON
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State | TX
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Zip | 76013-3320
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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 | BUSINESS OWNER
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Name | HENRY EHIZOKHALE
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Credential |
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Telephone | 443-600-8858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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