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General NPI Number Information
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NPI Number | 1487920534
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Entity Type | Organization
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Legal Business Name | ESTEEM HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 4100 SPRING VALLEY RD SUITE 675
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City | DALLAS
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State | TX
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Zip | 75244-3629
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Country | US
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Telephone | 972-239-8131
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Fax | 972-239-8183
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Provider Business Mailing Address
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Address Line | 4100 SPRING VALLEY RD SUITE 675
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City | DALLAS
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State | TX
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Zip | 75244-3629
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Country | US
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Telephone | 972-239-8131
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Fax | 972-239-8183
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Authorized Official
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Title or Position | MANAGER
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Name | GARY B MERCHANT
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Credential |
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Telephone | 972-239-8131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 014298
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License Number State | TX
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