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General NPI Number Information
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NPI Number | 1689800807
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Entity Type | Organization
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Legal Business Name | NORTHPARK HEALTH PARTNERS
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 10000 N CENTRAL EXPY SUITE 1043
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City | DALLAS
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State | TX
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Zip | 75231-4177
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Country | US
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Telephone | 214-239-1224
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Fax | 469-364-7940
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Provider Business Mailing Address
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Address Line | 10000 N CENTRAL EXPY SUITE 1043
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City | DALLAS
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State | TX
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Zip | 75231-4177
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Country | US
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Telephone | 214-239-1224
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Fax | 469-364-7940
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Authorized Official
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Title or Position | ADMINISTRATOR & OWNER
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Name | MRS. LORI MORAINE
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Credential | RN, JD
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Telephone | 214-239-1224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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