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General NPI Number Information
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NPI Number | 1750036109
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Entity Type | Organization
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Legal Business Name | DMI HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 323 W PARK PLACE DR
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City | LANCASTER
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State | TX
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Zip | 75134-3251
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Country | US
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Telephone | 214-402-0282
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Fax | 214-397-4600
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Provider Business Mailing Address
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Address Line | 1103 ALEXIS CT STE 107
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City | MANSFIELD
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State | TX
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Zip | 76063-3338
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Country | US
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Telephone | 214-402-0282
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Fax | 214-397-4600
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Authorized Official
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Title or Position | OWNER
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Name | ERICA D LEWIS
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Credential |
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Telephone | 214-402-0282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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