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General NPI Number Information
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NPI Number | 1760512156
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Entity Type | Organization
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Legal Business Name | GIDDINGS LTC CORPORATION
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 1747 EAST HEMPSTEAD
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City | GIDDINGS
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State | TX
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Zip | 78942-3632
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Country | US
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Telephone | 979-542-2150
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Fax | 979-542-0755
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Provider Business Mailing Address
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Address Line | 3701 W ALABAMA ST SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77027-5290
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Country | US
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Telephone | 713-622-4141
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Fax | 713-622-4142
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACK P GAY
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Credential |
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Telephone | 713-622-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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