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General NPI Number Information
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NPI Number | 1538563648
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Entity Type | Organization
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Legal Business Name | BROOK RIDGE GARDENS, LP
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 1201 WEST RIDGE ROAD
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City | PHARR
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State | TX
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Zip | 78577
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Country | US
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Telephone | 956-685-1520
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Fax | 956-961-4620
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Provider Business Mailing Address
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Address Line | 1201 WEST RIDGE ROAD
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City | PHARR
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State | TX
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Zip | 78577
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Country | US
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Telephone | 956-685-1520
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Fax | 956-961-4620
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Authorized Official
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Title or Position | CFO
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Name | QUINTIN KING
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Credential |
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Telephone | 541-948-1437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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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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