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General NPI Number Information
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NPI Number | 1740135508
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Entity Type | Organization
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Legal Business Name | BETHESDA GARDENS CARROLLTON LLC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 1029 SEMINOLE TRL
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City | CARROLLTON
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State | TX
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Zip | 75007-6200
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Country | US
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Telephone | 469-430-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 15475 GLENEAGLE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-2596
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Country | US
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Telephone | 719-249-8545
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Fax |
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Authorized Official
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Title or Position | CHIEF LEGAL AND RISK OFFICER
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Name | AUSTIN HARBACH
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Credential |
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Telephone | 719-640-7757
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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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