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General NPI Number Information
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NPI Number | 1558525816
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Entity Type | Organization
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Legal Business Name | SHAHN PLACE, INC.
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 2200 E LEDBETTER DR
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City | DALLAS
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State | TX
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Zip | 75216-7408
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Country | US
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Telephone | 214-376-7050
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Fax | 214-372-1434
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Provider Business Mailing Address
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Address Line | 2200 E LEDBETTER DR
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City | DALLAS
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State | TX
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Zip | 75216-7408
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Country | US
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Telephone | 214-376-7050
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Fax | 214-372-1434
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. PAT ODHAMS WESLEY
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Credential |
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Telephone | 214-376-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 302879
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License Number State | TX
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