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General NPI Number Information
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NPI Number | 1669647640
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Entity Type | Organization
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Legal Business Name | CIRCLE OF THE HEART RESIDENTIAL CARE-AKAR'S CORP
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 8701 OLD HOMESTEAD DR
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City | DALLAS
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State | TX
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Zip | 75217-4264
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Country | US
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Telephone | 214-391-2299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 171276
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City | DALLAS
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State | TX
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Zip | 75217-1155
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Country | US
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Telephone | 214-309-3576
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/MANAGER
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Name | MRS. JANICE DELORIS PARKER-ARCHIE
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Credential |
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Telephone | 214-309-3576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 123217
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License Number State | TX
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