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General NPI Number Information
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NPI Number | 1073717088
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Entity Type | Organization
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Legal Business Name | REAGAN MANOR
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 229 ECR 5718
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City | NATALIA
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State | TX
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Zip | 78016
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Country | US
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Telephone | 830-709-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 229 ECR 5718
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City | NATALIA
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State | TX
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Zip | 78016
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAY DUNCAN
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Credential |
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Telephone | 210-643-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 120398
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 120398
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number | 120398
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License Number State | TX
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