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General NPI Number Information
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NPI Number | 1407195720
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Entity Type | Organization
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Legal Business Name | ROSEBUD SENIOR SERVICES LLC
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 526 THE MEADOWS PKWY
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City | DESOTO
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State | TX
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Zip | 75115-4653
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Country | US
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Telephone | 214-991-4019
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Fax |
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Provider Business Mailing Address
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Address Line | 526 THE MEADOWS PKWY
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City | DESOTO
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State | TX
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Zip | 75115-4653
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Country | US
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Telephone | 214-991-4019
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID D. MYERS
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Credential | PH.D.
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Telephone | 254-733-0396
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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 |
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License Number State |
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