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General NPI Number Information
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NPI Number | 1447442652
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Entity Type | Organization
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Legal Business Name | EVER CARE ADULT CENTER OF KATY, LLC
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Dates
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Enumeration Date | 08/11/2007
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Last Update Date | 08/11/2007
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Provider Practice Location Address
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Address Line | 511 PARK GROVE LN
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City | KATY
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State | TX
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Zip | 77450-1759
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Country | US
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Telephone | 281-398-0641
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Fax | 281-398-0770
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Provider Business Mailing Address
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Address Line | 511 PARK GROVE LN
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City | KATY
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State | TX
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Zip | 77450-1759
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Country | US
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Telephone | 281-398-0641
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Fax | 281-398-0770
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ISABEL MARTINEZ
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Credential | MD
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Telephone | 832-483-7551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State | TX
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