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General NPI Number Information
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NPI Number | 1144040650
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Entity Type | Organization
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Legal Business Name | CASTLEROCK ASSISTED LIVING LP
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 5519 S COLLINS ST
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City | ARLINGTON
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State | TX
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Zip | 76018-1705
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Country | US
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Telephone | 817-557-2221
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Fax | 817-419-2590
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Provider Business Mailing Address
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Address Line | 8402 E INTERSTATE 20
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City | ALEDO
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State | TX
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Zip | 76008-3204
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Country | US
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Telephone | 817-733-6502
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DENISE DEAPEN
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Credential |
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Telephone | 817-475-3521
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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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