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General NPI Number Information
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NPI Number | 1942971098
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Entity Type | Organization
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Legal Business Name | ALLIED LIVING SOLUTIONS
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 4930 CHAPMAN ST
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City | FORT WORTH
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State | TX
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Zip | 76105-3703
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Country | US
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Telephone | 817-798-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST # 4394
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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 | 940-442-8821
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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. CONSTANCE PULLAM
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Credential |
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Telephone | 817-798-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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