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General NPI Number Information
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NPI Number | 1558770628
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Entity Type | Organization
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Legal Business Name | PM MANAGEMENT KILLEEN I NC, LLC
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 5701 E. CENTRAL TEXAS EXPRESSWAY
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City | KILLEEN
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State | TX
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Zip | 76543
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Country | US
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Telephone | 254-680-5020
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Fax | 254-690-3238
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Provider Business Mailing Address
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Address Line | 14841 DALLAS PKWY
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City | DALLAS
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State | TX
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Zip | 75254-7685
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Country | US
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Telephone | 214-252-7600
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Fax | 214-252-7704
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TINA HECHT
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Credential |
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Telephone | 214-252-7600
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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 | 136302
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License Number State | TX
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