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General NPI Number Information
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NPI Number | 1801532304
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Entity Type | Organization
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Legal Business Name | COMMUNITY VILLAGES DFW
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Dates
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Enumeration Date | 05/07/2022
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Last Update Date | 05/07/2022
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Provider Practice Location Address
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Address Line | 313 HARWOOD RD STE 206
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City | BEDFORD
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State | TX
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Zip | 76021-4222
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Country | US
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Telephone | 214-771-8211
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Fax |
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Provider Business Mailing Address
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Address Line | 2671 LAKE RIDGE DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-3401
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Country | US
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Telephone | 216-789-9917
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHERRELL HOLMES
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Credential |
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Telephone | 214-771-8211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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