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General NPI Number Information
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NPI Number | 1851884787
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Entity Type | Organization
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Legal Business Name | NEXT LEVEL OF INDEPENDENCE, INC.
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 2618 BUTTERFIELD DR
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City | FORT WORTH
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State | TX
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Zip | 76133-5881
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Country | US
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Telephone | 347-818-0386
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Fax |
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Provider Business Mailing Address
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Address Line | 2618 BUTTERFIELD DR
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City | FORT WORTH
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State | TX
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Zip | 76133-5881
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Country | US
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Telephone | 347-818-0386
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. TANYA ROSALEE BROWN
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Credential |
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Telephone | 347-818-0386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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