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General NPI Number Information
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NPI Number | 1184868614
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Entity Type | Organization
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Legal Business Name | RENAISSANCE ASSISTED LIVING, L.L.C
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 7315 OAKSTONE DR
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City | DALLAS
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State | TX
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Zip | 75249-1312
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Country | US
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Telephone | 972-298-0507
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Fax |
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Provider Business Mailing Address
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Address Line | 7710 KITTERY LN
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City | ARLINGTON
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State | TX
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Zip | 76002-4177
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | IRENE NGWA
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Credential |
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Telephone | 972-298-0507
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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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