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General NPI Number Information
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NPI Number | 1093199887
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Entity Type | Organization
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Legal Business Name | K. SCROGGINS INVESTMENTS
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Dates
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Enumeration Date | 07/12/2015
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Last Update Date | 07/12/2015
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Provider Practice Location Address
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Address Line | 13906 CRESTBOURNE CT
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City | HOUSTON
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State | TX
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Zip | 77014-1977
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Country | US
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Telephone | 713-391-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 2531 BISBANE DR
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City | HOUSTON
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State | TX
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Zip | 77014-2850
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Country | US
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Telephone | 832-666-5550
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Fax | 832-666-5551
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. TAURUS SCROGGINS
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Credential |
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Telephone | 346-400-1353
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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 |
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License Number State |
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