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General NPI Number Information
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NPI Number | 1962567149
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Entity Type | Organization
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Legal Business Name | TEXAS LIFELINE CORPORATION
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2424 S GOOD LATIMER EXPY
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City | DALLAS
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State | TX
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Zip | 75215-1432
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Country | US
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Telephone | 214-327-8222
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Fax | 972-271-0550
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Provider Business Mailing Address
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Address Line | PO BOX 472478
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City | GARLAND
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State | TX
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Zip | 75047-2478
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Country | US
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Telephone | 214-327-8222
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Fax | 972-271-0550
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. DARRYL QUIGLEY
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Credential |
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Telephone | 214-466-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 300273
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License Number State | TX
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