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General NPI Number Information
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NPI Number | 1093882201
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Entity Type | Organization
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Legal Business Name | TEMPLE ASSISTED LIVING, LTD.
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3002 JACK RABBIT RD
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City | TEMPLE
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State | TX
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Zip | 76502-1806
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Country | US
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Telephone | 254-778-2222
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Fax | 254-778-2845
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Provider Business Mailing Address
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Address Line | 9595 SIX PINES RD SUITE 6300
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1531
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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 | COO AND PARTNER
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Name | MR. LAURENCE DASPIT
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Credential |
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Telephone | 281-362-3502
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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 | 117856
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License Number State | TX
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