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General NPI Number Information
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NPI Number | 1295934354
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Entity Type | Organization
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Legal Business Name | MCCASKILL HEALTH CARE, LLC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 1501 7TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-3103
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Country | US
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Telephone | 940-322-0741
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Fax | 940-322-1845
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Provider Business Mailing Address
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Address Line | 1501 7TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-3103
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Country | US
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Telephone | 940-322-0741
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Fax | 940-322-1845
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MR. DONALD B MCCASKILL
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Credential | CNHA
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Telephone | 918-534-6121
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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 | 120857
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License Number State | TX
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