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General NPI Number Information
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NPI Number | 1619342698
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Entity Type | Organization
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Legal Business Name | REMEDI SENIORCARE OF DALLAS, LLC
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 2700 RESEARCH DR SUITE 200
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City | PLANO
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State | TX
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Zip | 75074-8340
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Country | US
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Telephone | 443-730-8957
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Fax | 410-484-6021
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Provider Business Mailing Address
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Address Line | 1 OLYMPIC PL SUITE 600
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City | TOWSON
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State | MD
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Zip | 21204-4104
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Country | US
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Telephone | 443-730-8957
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Fax | 410-484-6021
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Authorized Official
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Title or Position | CFO
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Name | JOHN GOULD
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Credential |
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Telephone | 614-956-2417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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