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General NPI Number Information
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NPI Number | 1821508524
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Entity Type | Organization
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Legal Business Name | ARBOR PARK SLC LLC
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Dates
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Enumeration Date | 10/07/2017
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Last Update Date | 10/07/2017
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Provider Practice Location Address
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Address Line | 9119 ARBOR PARK DR
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City | DALLAS
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State | TX
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Zip | 75243-6131
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Country | US
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Telephone | 469-776-8943
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Fax |
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Provider Business Mailing Address
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Address Line | 9119 ARBOR PARK DR
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City | DALLAS
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State | TX
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Zip | 75243-6131
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Country | US
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Telephone | 469-776-8943
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER BLAKE MCGUIRE
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Credential |
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Telephone | 469-412-4572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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