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General NPI Number Information
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NPI Number | 1881646941
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Entity Type | Organization
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Legal Business Name | ENNIS HEALTHCARE SYSTEMS INC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 07/07/2011
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Provider Practice Location Address
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Address Line | 2200 PHYSICANS BLVD STE D
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City | ENNIS
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State | TX
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Zip | 75119-6248
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Country | US
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Telephone | 972-875-7488
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Fax | 972-875-7508
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Provider Business Mailing Address
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Address Line | PO BOX 3770
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City | DALLAS
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State | TX
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Zip | 75208-1070
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Country | US
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Telephone | 972-875-7488
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Fax | 972-875-7508
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LINDA L RILEY
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Credential |
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Telephone | 214-943-9431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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