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NPI 1295088631

NPI 1295088631 : RATON HEALTH FACILITIES LP : RATON, NM

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General NPI Number Information
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    NPI Number           |    1295088631
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    Entity Type          |    Organization 
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    Legal Business Name  |    RATON HEALTH FACILITIES LP 
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Dates
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    Enumeration Date     |    10/23/2012
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    Last Update Date     |    08/19/2015
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Provider Practice Location Address
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    Address Line         |    1660 HOSPITAL DR 
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    City                 |    RATON
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    State                |    NM
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    Zip                  |    87740-2022
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    Country              |    US
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    Telephone            |    575-445-2734
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    Fax                  |    575-445-8451
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Provider Business Mailing Address
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    Address Line         |    5420 W PLANO PKWY 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-4823
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    Country              |    US
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    Telephone            |    972-931-3800
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    Fax                  |    972-767-6222
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Authorized Official
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    Title or Position    |    DIRECTOR OF REIMBURSEMENT
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    Name                 |    MRS. JAMIE L COLLIER 
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    Credential           |    
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    Telephone            |    972-931-3800
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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       |    1090
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    License Number State |    NM
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