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General NPI Number Information
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NPI Number | 1609873272
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Entity Type | Organization
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Legal Business Name | SARAH ROBERTS FRENCH HOME
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 1315 TEXAS AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78201-5944
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Country | US
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Telephone | 210-736-4238
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Fax | 210-737-7151
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Provider Business Mailing Address
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Address Line | 1315 TEXAS AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78201-5944
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Country | US
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Telephone | 210-736-4238
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Fax | 210-737-7151
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Authorized Official
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Title or Position | NURSING FACILITY ADMINISTRATOR
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Name | MS. MONA LISA RUDD
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Credential |
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Telephone | 210-736-4238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1029640001
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 4373
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License Number State | TX
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