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General NPI Number Information
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NPI Number | 1528204393
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Entity Type | Organization
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Legal Business Name | HERITAGE POINTE
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 01/31/2009
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Provider Practice Location Address
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Address Line | 328 S STEWART AVE
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City | LANCASTER
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State | TX
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Zip | 75146-3142
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Country | US
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Telephone | 214-812-9337
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Fax | 214-812-9338
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Provider Business Mailing Address
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Address Line | 328 S STEWART AVE
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City | LANCASTER
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State | TX
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Zip | 75146-3142
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Country | US
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Telephone | 214-812-9337
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Fax | 214-812-9338
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Authorized Official
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Title or Position | OWNER
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Name | FELICIA S HICKS
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Credential | RN
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Telephone | 214-475-6596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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