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General NPI Number Information
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NPI Number | 1699081612
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Entity Type | Organization
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Legal Business Name | EAST RUN MANAGEMENT, LTD. COMPANY
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 2653 CEDAR CREST BLVD
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City | DALLAS
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State | TX
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Zip | 75203
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Country | US
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Telephone | 972-741-8801
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 223723
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City | DALLAS
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State | TX
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Zip | 75222-3723
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Country | US
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Telephone |
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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. REGINALD D. SEASTRUNK SR.
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Credential | MBA
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Telephone | 972-741-8801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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