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General NPI Number Information
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NPI Number | 1104952480
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Entity Type | Organization
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Legal Business Name | ESC III LP
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 1401 WONDER WORLD DR
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City | SAN MARCOS
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State | TX
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Zip | 78666-7555
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Country | US
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Telephone | 512-396-8271
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Fax | 512-396-8273
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Provider Business Mailing Address
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Address Line | 111 WESTWOOD PL STE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-5057
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Country | US
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Telephone | 615-221-2250
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | JOANNE K LESKOWICZ
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Credential |
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Telephone | 414-918-5000
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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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