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General NPI Number Information
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NPI Number | 1124435847
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Entity Type | Organization
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Legal Business Name | FAITH STANDARD HEALTH SERVICES
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 07/15/2014
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Provider Practice Location Address
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Address Line | 8232 NOVARO DR
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City | PLANO
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State | TX
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Zip | 75025-4819
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Country | US
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Telephone | 469-605-7229
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Fax |
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Provider Business Mailing Address
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Address Line | 8232 NOVARO DR
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City | PLANO
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State | TX
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Zip | 75025-4819
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Country | US
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Telephone | 469-605-7229
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS T TABENYANG
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Credential |
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Telephone | 469-605-7229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 801958052
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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