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General NPI Number Information
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NPI Number | 1982801932
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Entity Type | Organization
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Legal Business Name | SVOBODA, LLC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4152 W. SPRING CREEK PKWY. SUITE 160
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City | PLANO
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State | TX
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Zip | 75024
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Country | US
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Telephone | 972-964-9000
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Fax | 972-964-9034
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Provider Business Mailing Address
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Address Line | 4152 W. SPRING CREEK PKWY. SUITE 160
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City | PLANO
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State | TX
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Zip | 75024
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Country | US
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Telephone | 972-964-9000
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Fax | 972-964-9034
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Authorized Official
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Title or Position | PRESIDENT
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Name | HEATHER ZURAN
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Credential | LVN
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Telephone | 972-964-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | TX
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