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General NPI Number Information
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NPI Number | 1730420191
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND CAREGIVERS, INC.
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 1925 E BELT LINE RD SUITE 214
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City | CARROLLTON
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State | TX
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Zip | 75006-5801
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Country | US
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Telephone | 469-208-5354
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Fax | 469-287-7908
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Provider Business Mailing Address
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Address Line | 1925 E BELT LINE RD SUITE 214
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City | CARROLLTON
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State | TX
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Zip | 75006-5801
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Country | US
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Telephone | 469-208-5354
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Fax | 469-287-7908
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK JACKSON
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Credential |
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Telephone | 214-725-1586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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