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General NPI Number Information
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NPI Number | 1972720084
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Entity Type | Organization
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Legal Business Name | PT HOME SERVICES OF DALLAS, INC.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 8200 BROOKRIVER DR # N503
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City | DALLAS
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State | TX
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Zip | 75247-4069
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Country | US
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Telephone | 214-678-0507
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Fax | 214-678-0766
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Provider Business Mailing Address
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Address Line | 22215 NORTHERN BLVD 3RD FLOOR
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City | BAYSIDE
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State | NY
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Zip | 11361-3603
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Country | US
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Telephone | 718-468-4747
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Fax | 718-264-5834
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Authorized Official
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Title or Position | CONTRACT MANAGER
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Name | MS. LORIGAY LASKIN
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Credential |
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Telephone | 718-468-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | TX
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