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General NPI Number Information
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NPI Number | 1528300761
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Entity Type | Organization
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Legal Business Name | ACCEPTANCE DIVERSE DISABILITY SERVICE, LLC
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 402 W WHEATLAND RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4600
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Country | US
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Telephone | 214-334-3441
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Fax | 972-591-4502
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Provider Business Mailing Address
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Address Line | PO BOX 3053
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City | CEDAR HILL
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State | TX
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Zip | 75106-3053
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Country | US
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Telephone | 214-334-3441
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Fax | 972-591-4502
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Authorized Official
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Title or Position | CEO
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Name | NYLA COHEN
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Credential |
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Telephone | 214-334-3441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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