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General NPI Number Information
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NPI Number | 1598791709
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Entity Type | Organization
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Legal Business Name | SEVEN OAKS NURSING HOME INC
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 1402 W ELM STREET
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City | OLNEY
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State | TX
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Zip | 76374-1610
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Country | US
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Telephone | 940-564-5631
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Fax | 940-564-5172
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Provider Business Mailing Address
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Address Line | 1402 W ELM ST
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City | OLNEY
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State | TX
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Zip | 76374-1610
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Country | US
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Telephone | 940-564-5631
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Fax | 940-564-5172
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Authorized Official
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Title or Position | MANAGER
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Name | JAKE HALLSTED
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Credential |
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Telephone | 832-448-3700
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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 | 111376
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License Number State | TX
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