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General NPI Number Information
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NPI Number | 1306662655
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Entity Type | Organization
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Legal Business Name | STATE OF TEXAS VETERANS LAND BOARD
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 2200 JOE B RUSHING
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City | FORT WORTH
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State | TX
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Zip | 76119-4008
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Country | US
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Telephone | 512-981-9025
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12873
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City | AUSTIN
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State | TX
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Zip | 78711-2873
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Country | US
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Telephone | 512-463-4909
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Fax |
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Authorized Official
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Title or Position | STAFF SERVICES OFFICER
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Name | MRS. KATHRYN ASHLEY CUELLAR
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Credential |
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Telephone | 512-463-4909
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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 |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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