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General NPI Number Information
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NPI Number | 1104098458
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Entity Type | Organization
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Legal Business Name | LAMPSTAND HEALTH & REHAB OF BRYAN, LLC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 2001 E 29TH ST
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City | BRYAN
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State | TX
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Zip | 77802-1954
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Country | US
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Telephone | 979-822-6611
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Fax | 979-822-6699
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Provider Business Mailing Address
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Address Line | 2723 SUMMER OAKS DR
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City | BARTLETT
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State | TN
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Zip | 38134-2858
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Country | US
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Telephone | 901-937-7994
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Fax | 901-937-1516
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER J MURPHY
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Credential |
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Telephone | 901-937-7994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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