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General NPI Number Information
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NPI Number | 1427214311
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Entity Type | Organization
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Legal Business Name | GATES OF HOPE
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 1409 STATE HIGHWAY 22
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City | WHITNEY
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State | TX
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Zip | 76692-7624
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Country | US
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Telephone | 254-694-1532
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 STATE HIGHWAY 22
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City | WHITNEY
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State | TX
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Zip | 76692-7624
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Country | US
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Telephone | 254-694-1532
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Fax |
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Authorized Official
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Title or Position | NURSE
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Name | MRS. DOROTHY MAY TROYER
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Credential | RN
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Telephone | 254-694-1532
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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 | 598600
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License Number State | TX
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