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General NPI Number Information
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NPI Number | 1477868339
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Entity Type | Organization
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Legal Business Name | DOLTON & DOLTON ENTERPRISES LLC
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 11/14/2012
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Provider Practice Location Address
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Address Line | 209 S DANVILLE DR STE C114
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City | ABILENE
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State | TX
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Zip | 79605-1479
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Country | US
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Telephone | 877-694-5844
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Fax | 877-232-0580
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Provider Business Mailing Address
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Address Line | 209 S DANVILLE DR STE C114
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City | ABILENE
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State | TX
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Zip | 79605-1479
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Country | US
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Telephone | 877-694-5844
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Fax | 877-232-0580
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Authorized Official
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Title or Position | PRESIDENT
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Name | ODIS DOLTON
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Credential |
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Telephone | 325-370-3433
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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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