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General NPI Number Information
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NPI Number | 1568245215
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Entity Type | Organization
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Legal Business Name | DFW ROOMING LLC
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 3921 DOUGLAS DR
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City | GARLAND
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State | TX
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Zip | 75041-5021
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Country | US
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Telephone | 214-500-5242
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Fax |
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Provider Business Mailing Address
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Address Line | 3921 DOUGLAS DR
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City | GARLAND
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State | TX
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Zip | 75041-5021
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Country | US
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Telephone | 214-500-5242
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. SYLVAIN TIENTCHEU
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Credential |
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Telephone | 214-500-5242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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