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General NPI Number Information
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NPI Number | 1922143189
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Entity Type | Organization
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Legal Business Name | DARNELL'S RESIDENTIAL CARE
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 7532 GAYGLEN DR
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City | DALLAS
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State | TX
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Zip | 75217-6251
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Country | US
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Telephone | 214-398-8642
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Fax |
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Provider Business Mailing Address
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Address Line | 7532 GAYGLEN DR
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City | DALLAS
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State | TX
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Zip | 75217-6251
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Country | US
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Telephone | 214-398-8642
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JACQUELINE R DARNELL
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Credential |
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Telephone | 214-398-8642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 118222
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License Number State | TX
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