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General NPI Number Information
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NPI Number | 1780929810
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Entity Type | Organization
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Legal Business Name | DAYTON TARKINGTON COMMUNITY CENTER, INC.
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 17019 HIGHWAY 321
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City | DAYTON
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State | TX
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Zip | 77535-5816
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Country | US
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Telephone | 281-592-1225
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Fax | 281-592-5892
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Provider Business Mailing Address
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Address Line | 17019 HIGHWAY 321
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City | DAYTON
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State | TX
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Zip | 77535-5816
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Country | US
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Telephone | 281-592-1225
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Fax | 281-592-5892
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | MR. PRINCE CARTWRIGHT JR.
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Credential | JD
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Telephone | 713-522-2211
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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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