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General NPI Number Information
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NPI Number | 1952325656
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Entity Type | Organization
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Legal Business Name | DALLAS METROCARE
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1380 RIVER BEND DR
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City | DALLAS
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State | TX
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Zip | 75247-4914
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Country | US
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Telephone | 214-743-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 5713 GUADALAJARA DR
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-6123
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Country | US
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Telephone | 469-831-8439
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Fax |
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Authorized Official
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Title or Position | CLINICAL MANAGER
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Name | MS. DIANE PARTIN
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Credential | LPC
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Telephone | 469-831-8439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State | TX
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