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General NPI Number Information
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NPI Number | 1487231007
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Entity Type | Organization
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Legal Business Name | ABLECARE HOME & COMMUNITY-BASED SERVICES, LLC.
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Dates
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Enumeration Date | 03/28/2021
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Last Update Date | 03/28/2021
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Provider Practice Location Address
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Address Line | 532 STOCKTON DR
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City | FORNEY
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State | TX
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Zip | 75126-8921
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Country | US
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Telephone | 832-607-3974
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Fax |
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Provider Business Mailing Address
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Address Line | 13101 PRESTON RD # 110617
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City | DALLAS
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State | TX
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Zip | 75240-5237
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Country | US
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Telephone | 972-375-0538
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENYUN PIPPINS
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Credential |
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Telephone | 832-607-3974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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