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General NPI Number Information
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NPI Number | 1932305174
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Entity Type | Organization
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Legal Business Name | EAGLE MANAGEMENT SOLUTIONS
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 202 BELLMEADE DR
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City | GARLAND
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State | TX
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Zip | 75040-3503
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Country | US
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Telephone | 972-495-1163
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Fax | 972-530-8591
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Provider Business Mailing Address
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Address Line | 202 BELLMEADE DR
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City | GARLAND
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State | TX
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Zip | 75040-3503
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Country | US
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Telephone | 972-495-1163
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Fax | 972-530-8591
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MR. RAY MAKORE
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Credential |
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Telephone | 469-826-0190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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