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General NPI Number Information
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NPI Number | 1326238494
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Entity Type | Organization
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Legal Business Name | KNOLL POINT PLACE
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 3446 KNOLL POINT DR
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City | GARLAND
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State | TX
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Zip | 75043-6225
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Country | US
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Telephone | 972-226-2620
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Fax | 972-226-2620
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Provider Business Mailing Address
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Address Line | 3446 KNOLL POINT DR
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City | GARLAND
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State | TX
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Zip | 75043-6225
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Country | US
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Telephone | 972-226-2620
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Fax | 972-226-2620
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SUE FOSTER
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Credential |
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Telephone | 214-243-0087
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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 | 111468
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License Number State | TX
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