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General NPI Number Information
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NPI Number | 1093113425
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Entity Type | Organization
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Legal Business Name | REGAL ASSISTED LIVING SERVICES, LLC
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Dates
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Enumeration Date | 12/17/2014
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 7441 COFFEE ST
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City | HOUSTON
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State | TX
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Zip | 77033-3455
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Country | US
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Telephone | 713-731-7630
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Fax | 713-731-7632
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Provider Business Mailing Address
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Address Line | 7441 COFFEE ST
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City | HOUSTON
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State | TX
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Zip | 77033-3455
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Country | US
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Telephone | 713-731-7630
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Fax | 713-731-7632
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. JAECI A. ROBERTS FISHER
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Credential |
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Telephone | 713-731-7630
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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 | APPLYING
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License Number State | TX
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