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General NPI Number Information
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NPI Number | 1104348390
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Entity Type | Organization
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Legal Business Name | WOODLANDS NURSING OPERATIONS, LLC
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 07/10/2017
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Provider Practice Location Address
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Address Line | 125 INSPIRATION BLVD
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City | EASTLAND
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State | TX
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Zip | 76448-5512
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Country | US
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Telephone | 254-629-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 306 W 7TH ST STE 430
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City | FT WORTH
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State | TX
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Zip | 76102-4902
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Country | US
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Telephone | 817-339-6177
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN HARRINGTON
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Credential |
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Telephone | 817-339-6177
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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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