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General NPI Number Information
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NPI Number | 1285965491
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Entity Type | Organization
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Legal Business Name | REGAL NURSING AND REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 01/28/2010
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Provider Practice Location Address
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Address Line | 1000 AVENUE J
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City | LAMPASAS
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State | TX
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Zip | 76550-0000
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Country | US
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Telephone | 512-556-6267
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Fax |
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Provider Business Mailing Address
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Address Line | 805 AVENUE L SUITE 2
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City | BROOKLYN
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State | NY
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Zip | 11230-5114
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Country | US
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Telephone | 718-535-3801
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Fax | 718-338-1019
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Authorized Official
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Title or Position | MEMBER
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Name | SIDNEY PINTER
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Credential |
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Telephone | 718-535-3801
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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 | 122495
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License Number State | TX
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