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General NPI Number Information
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NPI Number | 1588194302
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Entity Type | Organization
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Legal Business Name | AT LALAS PLACE LLC
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 06/14/2017
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Provider Practice Location Address
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Address Line | 4713 PARKHAVEN DR
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City | GARLAND
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State | TX
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Zip | 75043-7577
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Country | US
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Telephone | 214-212-0068
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Fax | 214-212-0068
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Provider Business Mailing Address
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Address Line | 4713 PARKHAVEN DR
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City | GARLAND
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State | TX
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Zip | 75043-7577
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Country | US
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Telephone | 214-212-0068
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Fax | 866-740-7952
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHANTAL MICELLE TORRAIN
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Credential |
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Telephone | 972-240-5628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State | TX
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