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General NPI Number Information
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NPI Number | 1497486187
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Entity Type | Organization
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Legal Business Name | DARSEA I, LLC
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 2728 COTTONWOOD LN
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City | TEMPLE
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State | TX
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Zip | 76502-2504
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Country | US
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Telephone | 254-771-9911
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 154
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City | HUTTO
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State | TX
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Zip | 78634-0154
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Country | US
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Telephone | 254-771-9911
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN DARBY
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Credential |
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Telephone | 512-888-2224
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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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