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General NPI Number Information
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NPI Number | 1750091591
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Entity Type | Organization
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Legal Business Name | JAMES L WEST PRESBYTERIAN SPECIAL CARE CENTER
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 6050 HARRIS PKWY
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City | FORT WORTH
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State | TX
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Zip | 76132-4102
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Country | US
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Telephone | 817-877-1199
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 SUMMIT AVE
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City | FORT WORTH
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State | TX
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Zip | 76102-3425
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Country | US
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Telephone | 817-877-1199
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHERYL HARDING
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Credential | PHD
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Telephone | 817-877-1199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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