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General NPI Number Information
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NPI Number | 1184762197
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Entity Type | Organization
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Legal Business Name | OAK PARTNERS LP
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 801 CALINCO DR
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City | GRANBURY
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State | TX
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Zip | 76048-4000
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Country | US
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Telephone | 817-736-4300
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Fax | 817-736-4299
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Provider Business Mailing Address
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Address Line | 922 W PEARL ST
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City | GRANBURY
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State | TX
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Zip | 76048-2052
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Country | US
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Telephone | 817-578-8300
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Fax | 817-578-3098
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | JODI BARNES
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Credential |
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Telephone | 817-736-4300
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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 | 117865
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License Number State | TX
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