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General NPI Number Information
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NPI Number | 1689807802
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Entity Type | Organization
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Legal Business Name | PLACE CALLED HOME (RESIDENTIAL CARE)
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Dates
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Enumeration Date | 09/04/2009
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 1727 STAFFORD CT
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City | CEDAR HILL
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State | TX
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Zip | 75104-4922
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Country | US
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Telephone | 972-293-3600
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Fax | 972-636-8073
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Provider Business Mailing Address
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Address Line | 1727 STAFFORD CT
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City | CEDAR HILL
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State | TX
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Zip | 75104-4922
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Country | US
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Telephone | 972-293-3600
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Fax | 972-636-8073
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHARON D. WILLIAMS
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Credential |
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Telephone | 972-293-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 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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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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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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