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General NPI Number Information
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NPI Number | 1134885056
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Entity Type | Organization
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Legal Business Name | SENTINEL GARDENS-CANTON INC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 1661 S BUFFALO ST
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City | CANTON
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State | TX
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Zip | 75103-2619
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Country | US
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Telephone | 903-567-1200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 480762
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City | LOS ANGELES
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State | CA
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Zip | 90048-9362
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Country | US
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Telephone | 323-620-4968
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TAMMY PURDY
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Credential |
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Telephone | 903-567-1200
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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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