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General NPI Number Information
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NPI Number | 1609862929
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Entity Type | Organization
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Legal Business Name | VILLA HEALTH CARE CENTER LTD CO
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2918 DUNCANVILLE RD
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City | DALLAS
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State | TX
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Zip | 75211-7407
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Country | US
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Telephone | 214-467-7090
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Fax | 214-467-7094
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Provider Business Mailing Address
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Address Line | 2537 GOLDEN BEAR DR
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City | CARROLLTON
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State | TX
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Zip | 75006-2377
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Country | US
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Telephone | 214-954-4114
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Fax | 214-871-3057
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Authorized Official
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Title or Position | CHIEF EXECUTIVE
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Name | MRS. ROBIN UNDERHILL
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Credential |
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Telephone | 214-954-4114
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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 | 113911
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License Number State | TX
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