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General NPI Number Information
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NPI Number | 1265514327
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Entity Type | Organization
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Legal Business Name | NESBIT LIVING & RECOVERY CENTER
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 1215 ASHBY ST
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City | SEGUIN
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State | TX
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Zip | 78155-5101
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Country | US
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Telephone | 830-379-1606
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Fax | 830-379-1688
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Provider Business Mailing Address
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Address Line | 1215 ASHBY ST
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City | SEGUIN
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State | TX
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Zip | 78155-5101
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Country | US
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Telephone | 830-379-1606
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Fax | 830-379-1688
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR
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Name | MR. DAVID W NESBIT
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Credential |
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Telephone | 830-379-1606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 117435
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License Number State | TX
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