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General NPI Number Information
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NPI Number | 1700682317
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Entity Type | Organization
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Legal Business Name | COLONIAL OAKS AT FIREWHEEL PROPERTY COMPANY LLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1501 W CAMPBELL RD
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City | GARLAND
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State | TX
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Zip | 75044-2402
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Country | US
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Telephone | 636-226-7970
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 N COLLINS ST STE 433
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City | ARLINGTON
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State | TX
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Zip | 76011-2801
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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 | DIRECTOR OF ACQUISITIONS AND AM
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Name | JOSEPH HAGAN
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Credential |
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Telephone | 636-226-7970
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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 |
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License Number State |
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