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General NPI Number Information
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NPI Number | 1356497010
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Entity Type | Organization
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Legal Business Name | ST. JAMES HOUSE OF BAYTOWN
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 5800 W BAKER RD
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City | BAYTOWN
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State | TX
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Zip | 77520-1618
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Country | US
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Telephone | 281-425-1200
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Fax | 281-424-1922
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Provider Business Mailing Address
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Address Line | 5800 W BAKER RD
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City | BAYTOWN
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State | TX
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Zip | 77520-1618
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Country | US
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Telephone | 281-425-1200
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Fax | 281-424-1922
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. WESLEY BARD
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Credential |
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Telephone | 281-425-1227
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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 | 117511
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License Number State | TX
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