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General NPI Number Information
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NPI Number | 1508890948
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Entity Type | Organization
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Legal Business Name | ELDERCARE, LP
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 6310 LYNDON B JOHNSON FWY SUITE # 202
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City | DALLAS
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State | TX
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Zip | 75240-6401
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Country | US
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Telephone | 972-279-2011
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Fax | 972-361-0050
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Provider Business Mailing Address
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Address Line | 6310 LBJ FREEWAY SUITE # 202
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City | DALLAS
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State | TX
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Zip | 75240-6401
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Country | US
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Telephone | 972-279-2011
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Fax | 972-361-0050
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BEVERLY ANN DAWSON I
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Credential |
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Telephone | 972-279-2011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0069430A
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License Number State | TX
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