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General NPI Number Information
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NPI Number | 1598053282
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Entity Type | Organization
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Legal Business Name | MABEL'S UNIQUE CARE
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 6833 DAN DANCIGER RD
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City | FORT WORTH
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State | TX
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Zip | 76133-4903
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Country | US
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Telephone | 817-479-9800
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Fax | 817-479-9806
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Provider Business Mailing Address
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Address Line | 6833 DAN DANCIGER RD
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City | FORT WORTH
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State | TX
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Zip | 76133-4903
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Country | US
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Telephone | 817-479-9800
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Fax | 817-479-9806
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Authorized Official
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Title or Position | DIRECTOR
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Name | NORLETTE LINDSEY
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Credential |
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Telephone | 817-479-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 132231
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License Number State | TX
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