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General NPI Number Information
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NPI Number | 1790222693
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Entity Type | Organization
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Legal Business Name | PDM OPERATORS LLC
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 1241 W MARSHALL HOWARD BLVD
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City | LITTLEFIELD
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State | TX
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Zip | 79339-5951
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Country | US
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Telephone | 806-385-6600
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Fax | 806-385-4688
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Provider Business Mailing Address
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Address Line | 101 N 2ND ST
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City | WEST MONROE
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State | LA
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Zip | 71291-3266
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Country | US
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Telephone | 318-812-2140
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Fax | 318-812-2143
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Authorized Official
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Title or Position | MANAGER
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Name | DAWNE SMITH
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Credential |
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Telephone | 318-812-2140
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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 | TX
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