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General NPI Number Information
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NPI Number | 1447491923
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Entity Type | Organization
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Legal Business Name | CEDAR HILL NURSING HOME, INC.
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 230 S CLARK RD
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City | CEDAR HILL
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State | TX
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Zip | 75104-2750
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Country | US
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Telephone | 972-291-7877
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Fax | 972-293-1273
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Provider Business Mailing Address
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Address Line | 121 NE LOOP 820 SUITE 300
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City | HURST
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State | TX
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Zip | 76053-7375
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Country | US
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Telephone | 817-457-8797
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Fax | 817-457-4060
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAROLYN GOODMAN
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Credential |
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Telephone | 817-457-8797
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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 |
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License Number State | TX
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