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General NPI Number Information
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NPI Number | 1689949240
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Entity Type | Organization
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Legal Business Name | LOVE MARCS
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 810 HILLSIDE DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-4707
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Country | US
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Telephone | 469-952-4723
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Fax |
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Provider Business Mailing Address
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Address Line | 4041 W WHEATLAND RD STE. 156-352
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City | DALLAS
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State | TX
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Zip | 75237-4063
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Country | US
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Telephone | 469-952-4723
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER, OWNER
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Name | MS. FREDGENIA HILL
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Credential |
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Telephone | 469-952-4723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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