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General NPI Number Information
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NPI Number | 1073751236
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE COURT PARTNERS,LLC
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 711 MATADOR LN
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City | MESQUITE
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State | TX
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Zip | 75149-8830
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Country | US
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Telephone | 972-285-9800
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Fax | 972-285-9134
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Provider Business Mailing Address
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Address Line | 517 LAKEFAIR PL N
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City | KEIZER
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State | OR
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Zip | 97303-3590
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Country | US
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Telephone | 503-390-9200
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ERIC MEURER
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Credential |
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Telephone | 503-390-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | 101786
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 125671
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License Number State | TX
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