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General NPI Number Information
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NPI Number | 1306790548
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Entity Type | Organization
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Legal Business Name | DUNGARVIN TEXAS, LLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 1513 BLUEBONNET DR
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City | MARBLE FALLS
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State | TX
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Zip | 78654-4558
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Country | US
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Telephone | 830-201-4007
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Fax |
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Provider Business Mailing Address
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Address Line | 1444 NORTHLAND DR STE 200
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City | MENDOTA HEIGHTS
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State | MN
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Zip | 55120-1032
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Country | US
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Telephone | 651-699-0206
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LORI KRESS
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Credential |
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Telephone | 651-789-5968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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