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General NPI Number Information
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NPI Number | 1639404460
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Entity Type | Organization
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Legal Business Name | ANKURA INVESTMENTS, INC
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 10/19/2009
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Provider Practice Location Address
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Address Line | 740 NORA LN
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City | DESOTO
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State | TX
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Zip | 75115-5520
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Country | US
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Telephone | 469-297-4475
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Fax | 469-297-4475
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Provider Business Mailing Address
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Address Line | 740 NORA LN
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City | DESOTO
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State | TX
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Zip | 75115-5520
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Country | US
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Telephone | 469-297-4475
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Fax | 469-297-4475
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PATRICK LYNN MCKENZIE SR.
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Credential |
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Telephone | 972-897-7568
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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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