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General NPI Number Information
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NPI Number | 1619334257
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Entity Type | Organization
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Legal Business Name | LUFKIN HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 504 N JOHN REDDITT DR
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City | LUFKIN
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State | TX
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Zip | 75904-2644
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Country | US
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Telephone | 936-632-3331
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Fax |
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Provider Business Mailing Address
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Address Line | 5967 W 3RD ST 360
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City | LOS ANGELES
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State | CA
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Zip | 90036-2835
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Country | US
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Telephone | 323-346-4052
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. SOLOMON L GURWITZ
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Credential |
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Telephone | 936-632-3331
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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 |
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License Number State |
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