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General NPI Number Information
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NPI Number | 1437506623
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Entity Type | Organization
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Legal Business Name | ALLCARE PHYSICIANS GROUP
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 1111 S MAIN ST STE 119
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City | GRAPEVINE
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State | TX
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Zip | 76051
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Country | US
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Telephone | 817-576-6665
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Fax | 817-576-6663
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Provider Business Mailing Address
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Address Line | 1111 S MAIN ST STE 119
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City | GRAPEVINE
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State | TX
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Zip | 76051-5577
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Country | US
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Telephone | 817-576-6665
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Fax | 817-576-6663
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID DEJESUS
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Credential |
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Telephone | 817-576-6665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | NULL
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Taxonomy #8
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State | NULL
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Taxonomy #9
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State | NULL
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Taxonomy #10
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State | NULL
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Taxonomy #11
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | NULL
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Taxonomy #12
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | NULL
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