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General NPI Number Information
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NPI Number | 1558395764
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Entity Type | Organization
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Legal Business Name | SUNFLOWER PARK HEALTH CARE PROVIDERS LP
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 04/26/2010
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Provider Practice Location Address
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Address Line | 1803 E STATE HIGHWAY 243
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City | KAUFMAN
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State | TX
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Zip | 75142-4118
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Country | US
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Telephone | 972-932-7776
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Fax | 972-932-8916
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Provider Business Mailing Address
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Address Line | 1803 E STATE HIGHWAY 243
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City | KAUFMAN
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State | TX
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Zip | 75142-4118
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Country | US
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Telephone | 972-932-7776
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Fax | 972-932-8916
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Authorized Official
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Title or Position | CFO
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Name | MR. SHAWN L CONLEY
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Credential |
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Telephone | 817-303-4089
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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 | 117626
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License Number State | TX
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