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General NPI Number Information
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NPI Number | 1477167237
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Entity Type | Organization
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Legal Business Name | DIGNITY PLACE LLC
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 3814 CATALINA ST
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City | ROWLETT
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State | TX
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Zip | 75088-8362
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Country | US
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Telephone | 469-267-8447
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Fax |
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Provider Business Mailing Address
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Address Line | 3814 CATALINA ST
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City | ROWLETT
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State | TX
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Zip | 75088-8362
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Country | US
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Telephone | 469-267-8447
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PRINCESS GBOR
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Credential | RN
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Telephone | 469-267-8447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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