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General NPI Number Information
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NPI Number | 1649698333
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Entity Type | Organization
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Legal Business Name | A SIMPLE CHOICE
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 03/31/2014
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Provider Practice Location Address
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Address Line | 203 LAKE WAY
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City | AUBREY
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State | TX
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Zip | 76227-1727
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Country | US
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Telephone | 972-876-8789
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Fax | 940-365-9798
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Provider Business Mailing Address
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Address Line | 203 LAKE WAY
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City | AUBREY
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State | TX
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Zip | 76227-1727
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Country | US
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Telephone | 972-876-8789
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Fax | 940-365-9798
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. TAMMY C SWEENEY
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Credential |
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Telephone | 972-876-8789
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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