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General NPI Number Information
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NPI Number | 1275711988
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Entity Type | Organization
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Legal Business Name | SUGAR LAND ASSISTED LIVING LLC
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 3060 EDGEWATER DRIVE
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City | SUGARLAND
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State | TX
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Zip | 77478
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Country | US
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Telephone | 281-313-2500
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Fax | 281-313-2505
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Provider Business Mailing Address
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Address Line | 3060 EDGEWATER DRIVE
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City | SUGARLAND
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State | TX
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Zip | 77478
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Country | US
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Telephone | 281-313-2500
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Fax | 281-313-2505
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JANE RELTON
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Credential |
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Telephone | 281-313-2500
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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 | 123822
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | 101631
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License Number State | TX
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