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General NPI Number Information
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NPI Number | 1861145138
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Entity Type | Organization
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Legal Business Name | TRUSTED APPEARANCE LLC
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 539 W COMMERCE ST STE 4049
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 972-284-9008
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Fax | 972-692-8340
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Provider Business Mailing Address
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Address Line | 2120 PECAN CREEK DR
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City | MESQUITE
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State | TX
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Zip | 75181-2965
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Country | US
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Telephone | 214-282-3007
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Fax | 972-692-8340
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Authorized Official
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Title or Position | OWNER
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Name | ULIVIA GILBERT
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Credential | MHA
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Telephone | 214-282-3007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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