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General NPI Number Information
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NPI Number | 1447296918
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Entity Type | Organization
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Legal Business Name | NOCONA-HENRIETTA HEALTH PROPERTIES INC
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 807 W BOIS D ARC ST
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City | HENRIETTA
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State | TX
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Zip | 76365-3232
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Country | US
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Telephone | 940-538-4303
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Fax | 940-538-5576
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Provider Business Mailing Address
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Address Line | 807 W BOIS D ARC ST
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City | HENRIETTA
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State | TX
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Zip | 76365-3232
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Country | US
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Telephone | 940-538-4303
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Fax | 940-538-5576
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Authorized Official
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Title or Position | MANAGER
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Name | JAKE HALLSTED
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Credential |
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Telephone | 832-448-3700
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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 | 116479
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License Number State | TX
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