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General NPI Number Information
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NPI Number | 1841431319
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Entity Type | Organization
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Legal Business Name | PREMIER TRANSITIONAL CARE OF DALLAS LLC
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 6825 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235-4210
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Country | US
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Telephone | 214-845-6200
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Fax | 214-845-6400
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Provider Business Mailing Address
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Address Line | 7240 CHASE OAKS BLVD
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City | PLANO
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State | TX
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Zip | 75025-5901
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Country | US
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Telephone | 972-517-6300
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Fax | 972-517-6301
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Authorized Official
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Title or Position | MANAGER
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Name | WILLIAM A THURMAN JR.
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Credential |
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Telephone | 972-517-6300
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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 | 132759
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License Number State | TX
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