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General NPI Number Information
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NPI Number | 1457959314
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Entity Type | Organization
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Legal Business Name | JUST LIKE HOME SEYMOUR, LLC
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 1137 W CALIFORNIA ST
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City | SEYMOUR
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State | TX
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Zip | 76380-1552
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Country | US
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Telephone | 940-889-3551
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Fax | 940-889-3551
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Provider Business Mailing Address
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Address Line | 101 HILL DR
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City | SEYMOUR
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State | TX
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Zip | 76380-2325
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Country | US
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Telephone | 940-631-9142
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Fax | 940-889-3551
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Authorized Official
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Title or Position | CFO
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Name | RANCE CARRINGTON
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Credential | R.T. ( R)
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Telephone | 940-631-9142
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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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