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General NPI Number Information
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NPI Number | 1053743856
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Entity Type | Organization
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Legal Business Name | TRANSITIONAL LEARNING CENTER AT GALVESTON
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 6444 CENTRAL CITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77551-2058
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Country | US
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Telephone | 409-741-3266
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Fax |
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Provider Business Mailing Address
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Address Line | 1528 POSTOFFICE STREET
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City | GALVESTON
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State | TX
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Zip | 77550-4833
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Country | US
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Telephone | 409-797-1468
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Fax |
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Authorized Official
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Title or Position | CONTRACT MANAGER
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Name | JAMES ANDERSON
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Credential |
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Telephone | 409-797-1468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 134987
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License Number State | TX
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