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General NPI Number Information
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NPI Number | 1174718571
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Entity Type | Organization
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Legal Business Name | MONASH CARE CENTER
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Dates
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Enumeration Date | 09/09/2007
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Last Update Date | 09/09/2007
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Provider Practice Location Address
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Address Line | 505 MONARCH DR
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City | LANCASTER
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State | TX
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Zip | 75146-2275
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Country | US
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Telephone | 972-227-6844
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Fax |
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Provider Business Mailing Address
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Address Line | 505 MONARCH DR
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City | LANCASTER
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State | TX
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Zip | 75146-2275
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Country | US
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Telephone | 972-227-6844
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. KIMBERLY DALE DARWIN
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Credential | BBA
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Telephone | 214-545-8118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | TX
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