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General NPI Number Information
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NPI Number | 1679853014
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Entity Type | Organization
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Legal Business Name | TANNER PERRY, INC.
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 4403 ROSENEATH DR 4403 ROSENEATH DRIVE
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City | HOUSTON
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State | TX
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Zip | 77021-1616
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Country | US
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Telephone | 713-694-4800
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Fax | 713-694-4800
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Provider Business Mailing Address
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Address Line | 7416 CURRY ROAD TANNER PERRY INC./DBA/ LOVE AND PEACE ASSISTED LIVING
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City | HOUSTON
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State | TX
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Zip | 77093
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Country | US
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Telephone | 713-694-4800
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Fax | 713-694-4800
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. SEDALIA C. MITCHELL
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Credential |
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Telephone | 713-842-4236
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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 | 129470
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License Number State | TX
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