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General NPI Number Information
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NPI Number | 1588433072
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Entity Type | Organization
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Legal Business Name | ROCKY HOLLOW CABINS, LLC
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Dates
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Enumeration Date | 12/26/2023
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 1650 COUNTY ROAD 245
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City | GEORGETOWN
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State | TX
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Zip | 78633-4476
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Country | US
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Telephone | 254-793-2311
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Fax | 254-793-2554
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Provider Business Mailing Address
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Address Line | 1650 COUNTY ROAD 245
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City | GEORGETOWN
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State | TX
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Zip | 78633-4476
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Country | US
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Telephone | 254-793-2311
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Fax | 254-793-2554
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | NAZARALI DHAMANI
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Credential |
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Telephone | 254-793-2311
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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 |
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License Number State |
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