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General NPI Number Information
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NPI Number | 1730791500
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Entity Type | Organization
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Legal Business Name | HILLCREST DALLAS CLINICAL RESEARCH INCORPORATED
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 2501 HEATHERDALE DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-6825
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Country | US
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Telephone | 214-329-6414
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 HEATHERDALE DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-6825
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Country | US
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Telephone | 214-329-6414
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHUKWUDI (CHUCK) A IJIOMA
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Credential |
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Telephone | 214-329-6414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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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 | 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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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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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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