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General NPI Number Information
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NPI Number | 1609382068
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Entity Type | Organization
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Legal Business Name | LIVING SINGLE LLC
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 809 E. DENTON STREET
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City | ENNIS
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State | TX
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Zip | 75119
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Country | US
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Telephone | 214-677-6948
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Fax |
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Provider Business Mailing Address
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Address Line | 905 WINNING COLORS DR
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City | WILMER
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State | TX
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Zip | 75172-2336
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Country | US
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Telephone | 214-677-6948
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. YOLANDA MORRISON
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Credential | MBA
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Telephone | 214-677-6948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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