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General NPI Number Information
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NPI Number | 1649409574
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Entity Type | Organization
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Legal Business Name | LE' DE'S ASSISTED LIVING
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 6735 SECO BLVD
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City | DALLAS
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State | TX
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Zip | 75217-1230
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Country | US
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Telephone | 214-774-9592
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Fax |
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Provider Business Mailing Address
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Address Line | 7820 LONGBOW LN
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City | ARLINGTON
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State | TX
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Zip | 76002-4563
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Country | US
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Telephone | 817-453-2799
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. THERESA YVONNE LEDAY-FREEMAN
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Credential |
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Telephone | 972-310-9857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 135610
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License Number State | TX
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