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General NPI Number Information
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NPI Number | 1992592240
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Entity Type | Organization
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Legal Business Name | ALLCARE NORTH
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 550 EXCHANGE BLVD APT 2102
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City | HUTTO
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State | TX
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Zip | 78634-1020
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Country | US
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Telephone | 469-215-9396
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 577
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City | HUTTO
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State | TX
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Zip | 78634-0577
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Country | US
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Telephone | 469-215-9693
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUINETTA WHITLEY
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Credential |
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Telephone | 469-215-9693
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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 |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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