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General NPI Number Information
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NPI Number | 1477807964
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Entity Type | Organization
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Legal Business Name | RANCHLAND 2SP GROUP, LLC
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 8150 N CENTRAL EXPY SUITE M2103
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City | DALLAS
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State | TX
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Zip | 75206-1815
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Country | US
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Telephone | 214-368-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 4635 SOUTHWEST FWY SUITE 540
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City | HOUSTON
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State | TX
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Zip | 77027-7169
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Country | US
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Telephone | 713-942-0100
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Fax | 713-942-0103
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS SHULTS
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Credential |
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Telephone | 713-942-0100
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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 |
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