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General NPI Number Information
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NPI Number | 1568339224
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Entity Type | Organization
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Legal Business Name | WESTOVER SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 3500 OAK LAWN AVE STE 460A
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City | DALLAS
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State | TX
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Zip | 75219-4308
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Country | US
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Telephone | 919-900-0143
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Fax | 919-896-8885
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Provider Business Mailing Address
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Address Line | 3500 OAK LAWN AVE STE 460A
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City | DALLAS
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State | TX
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Zip | 75219-4308
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Country | US
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Telephone | 919-900-0143
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Fax | 919-896-8885
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Authorized Official
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Title or Position | CEO
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Name | YALANDA MOORE-MCCLAIN
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Credential |
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Telephone | 919-900-0143
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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 |
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License Number State |
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