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NPI 1588095061

NPI 1588095061 : REMARKABLE HEALTHCARE OF CARROLLTON, LP : CARROLLTON, TX

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General NPI Number Information
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    NPI Number           |    1588095061
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    Entity Type          |    Organization 
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    Legal Business Name  |    REMARKABLE HEALTHCARE OF CARROLLTON, LP 
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Dates
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    Enumeration Date     |    12/09/2013
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    Last Update Date     |    12/02/2016
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Provider Practice Location Address
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    Address Line         |    4501 PLANO PARKWAY 
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75010
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    Country              |    US
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    Telephone            |    469-701-5300
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    Fax                  |    972-394-1212
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Provider Business Mailing Address
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    Address Line         |    PO BOX 164966 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76161-4966
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    Country              |    US
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    Telephone            |    469-701-5300
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    Fax                  |    972-394-1212
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     LAURIE BETH MCPIKE 
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    Credential           |    
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    Telephone            |    817-308-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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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        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    140310
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    License Number State |    TX
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