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General NPI Number Information
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NPI Number | 1447720941
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Entity Type | Organization
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Legal Business Name | RLJ VISITING HOUSECALLS LLC
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 3603 CREEK VIEW DR
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City | DALLAS
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State | TX
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Zip | 75233-1709
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Country | US
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Telephone | 214-676-3861
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Fax | 214-337-1097
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Provider Business Mailing Address
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Address Line | 2202 S COCKRELL HILL RD UNIT 210676
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City | DALLAS
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State | TX
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Zip | 75211-8535
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Country | US
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Telephone | 214-676-3861
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Fax | 214-337-1097
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Authorized Official
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Title or Position | OWNER
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Name | ROSIE L JOHNSON
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Credential | APN
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Telephone | 214-676-3861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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