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General NPI Number Information
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NPI Number | 1689662397
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Entity Type | Organization
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Legal Business Name | LINDALE HEALTH CARE CENTER
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 215 MARGARET ST
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City | LINDALE
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State | TX
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Zip | 75771-2617
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Country | US
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Telephone | 903-882-7561
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Fax | 903-882-9797
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Provider Business Mailing Address
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Address Line | 215 MARGARET ST
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City | LINDALE
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State | TX
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Zip | 75771-2617
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Country | US
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Telephone | 903-882-7561
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Fax | 903-882-9797
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. TERESA ANN SWOFFORD
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Credential | RN
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Telephone | 903-882-7561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 110522
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License Number State | TX
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