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General NPI Number Information
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NPI Number | 1770815524
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Entity Type | Organization
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Legal Business Name | PM MANAGEMENT - FRISCO NC, LLC
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Dates
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Enumeration Date | 02/04/2010
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 10700 ROLATER RD
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City | FRISCO
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State | TX
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Zip | 75035-2972
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Country | US
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Telephone | 972-712-8652
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Fax | 972-712-8655
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Provider Business Mailing Address
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Address Line | 10700 ROLATER RD
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City | FRISCO
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State | TX
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Zip | 75035-2972
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Country | US
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Telephone | 972-712-8652
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Fax |
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Authorized Official
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Title or Position | RECEIVER
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Name | CAMERAN JORDAN
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Credential |
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Telephone | 615-542-7423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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