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General NPI Number Information
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NPI Number | 1700948593
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Entity Type | Organization
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Legal Business Name | PARKVIEW ADULT HEALTH CARE AND ACTIVITY CENTER, INC.
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 501 E BOWIE ST
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City | BEEVILLE
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State | TX
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Zip | 78102-4918
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Country | US
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Telephone | 361-358-5559
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Fax | 361-358-6163
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Provider Business Mailing Address
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Address Line | 501 E BOWIE ST
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City | BEEVILLE
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State | TX
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Zip | 78102-4918
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Country | US
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Telephone | 361-358-5559
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Fax | 361-358-6163
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LARRY DEAN WREN
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Credential |
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Telephone | 361-358-5559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 116501
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License Number State | TX
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