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General NPI Number Information
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NPI Number | 1275576894
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Entity Type | Organization
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Legal Business Name | LIVING CENTERS OF TEXAS, INC.
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5300 W SAM HOUSTON PKWY N
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City | HOUSTON
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State | TX
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Zip | 77041-5161
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Country | US
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Telephone | 832-467-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 W SAM HOUSTON PKWY N
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City | HOUSTON
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State | TX
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Zip | 77041-5161
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Country | US
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Telephone | 832-467-6000
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Fax |
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Authorized Official
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Title or Position | EVP, GENERAL COUNSEL
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Name | DEVIN M EHRLICH
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Credential |
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Telephone | 678-443-6772
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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 | 004305
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 11618
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License Number State | TX
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