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General NPI Number Information
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NPI Number | 1851722961
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Entity Type | Organization
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Legal Business Name | DDD VENTURES, INC.
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Dates
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Enumeration Date | 11/29/2013
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Last Update Date | 11/29/2013
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Provider Practice Location Address
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Address Line | 2609 SAGEBRUSH DR STE 204
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City | FLOWER MOUND
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State | TX
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Zip | 75028-4670
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Country | US
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Telephone | 214-543-3607
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Fax |
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Provider Business Mailing Address
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Address Line | 581 JERNIGAN RD
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City | COPPER CANYON
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State | TX
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Zip | 75077-8596
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Country | US
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Telephone | 214-543-3607
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KELLY DEAN DAVIS
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Credential |
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Telephone | 214-543-3607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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