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General NPI Number Information
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NPI Number | 1699445890
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Entity Type | Organization
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Legal Business Name | NEIGHBORING HEARTS LLC
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 302 PARKLANE CRK
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City | WHITEHOUSE
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State | TX
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Zip | 75791-3375
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Country | US
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Telephone | 903-508-1166
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Fax |
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Provider Business Mailing Address
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Address Line | 611 ZION STREET SUITE 5
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City | HENDERSON
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State | TX
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Zip | 75652
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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 | OWNER/ADMINISTRATOR
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Name | LARRY COLEMAN JR.
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Credential |
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Telephone | 903-258-3627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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