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General NPI Number Information
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NPI Number | 1811279953
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Entity Type | Organization
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Legal Business Name | PATBAR LLC
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 4514 ROWLETT ROAD SUITE 102
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City | ROWLETT
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State | TX
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Zip | 75088
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Country | US
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Telephone | 469-549-4785
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Fax | 972-219-5371
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Provider Business Mailing Address
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Address Line | 4514 ROWLETT ROAD SUITE 102
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City | ROWLETT
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State | TX
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Zip | 75088
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Country | US
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Telephone | 469-549-4785
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Fax | 972-219-5371
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PATSY BALEY
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Credential |
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Telephone | 469-549-4785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 013205
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License Number State | TX
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