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General NPI Number Information
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NPI Number | 1386710606
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Entity Type | Organization
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Legal Business Name | ALL GOD'S PEOPLE ASSISTED LIVING HOME
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 3903 DARLINGHURST DR
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City | HOUSTON
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State | TX
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Zip | 77045-5525
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Country | US
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Telephone | 713-433-3088
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Fax | 713-433-3088
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Provider Business Mailing Address
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Address Line | 3903 DARLINGHURST DR
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City | HOUSTON
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State | TX
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Zip | 77045-5525
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Country | US
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Telephone | 713-433-3088
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Fax | 713-433-3088
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Authorized Official
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Title or Position | OWNER
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Name | C LOIS BRADLEY
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Credential | R.N.,B.S.N
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Telephone | 713-433-3088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 000010309
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License Number State | TX
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