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General NPI Number Information
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NPI Number | 1093709727
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Entity Type | Organization
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Legal Business Name | VPH SENIOR CARE, INC.
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11409 N CENTRAL EXPY
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City | DALLAS
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State | TX
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Zip | 75243-6678
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Country | US
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Telephone | 214-363-5100
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Fax | 214-363-5133
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Provider Business Mailing Address
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Address Line | 1500 WATERS RIDGE DR SUITE 200
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City | LEWISVILLE
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State | TX
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Zip | 75057-6011
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Country | US
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Telephone | 972-899-4401
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Fax | 972-899-4460
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Authorized Official
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Title or Position | AUTHORIZED OFFICER
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Name | DAN STANSBURY JR.
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Credential |
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Telephone | 214-696-3495
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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 | 115516
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License Number State | TX
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