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General NPI Number Information
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NPI Number | 1306118369
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Entity Type | Organization
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Legal Business Name | NACHONICHE PROPERTIES, LLC
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 1200 FERGUSON ST
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4068
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Country | US
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Telephone | 936-564-7359
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Fax |
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Provider Business Mailing Address
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Address Line | 220 E ASH ST
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City | HUNTINGTON
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State | TX
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Zip | 75949-8648
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Country | US
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Telephone | 936-564-7359
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK SAINTIGNAN
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Credential |
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Telephone | 936-652-4048
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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 |
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License Number State | TX
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