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General NPI Number Information
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NPI Number | 1588785992
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Entity Type | Organization
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Legal Business Name | OAKBEND MEDICAL CENTER
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 457 N MAIN ST
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City | LA GRANGE
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State | TX
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Zip | 78945-1937
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Country | US
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Telephone | 979-968-5865
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Fax |
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Provider Business Mailing Address
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Address Line | 457 N MAIN ST
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City | LA GRANGE
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State | TX
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Zip | 78945-1937
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH FREUDENBERGER
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Credential |
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Telephone | 281-341-4812
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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 | 117816
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License Number State | TX
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