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General NPI Number Information
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NPI Number | 1558314310
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Entity Type | Organization
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Legal Business Name | SENIOR LIVING PROPERTIES LLC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 300 HOSPITAL RD
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City | ANAHUAC
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State | TX
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Zip | 77514
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Country | US
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Telephone | 409-267-3164
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Fax | 409-267-3764
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Provider Business Mailing Address
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Address Line | PO BOX 1389
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City | GRAPEVINE
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State | TX
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Zip | 76099-1389
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Country | US
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Telephone | 817-410-7300
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Fax | 817-810-7411
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Authorized Official
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Title or Position | CFO
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Name | LARRY MARTIN
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Credential |
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Telephone | 817-410-7300
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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 | 125018
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License Number State | TX
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