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General NPI Number Information
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NPI Number | 1801061726
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Entity Type | Organization
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Legal Business Name | COUNTY SENIOR ALLEGIANCE
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 13203 ROSECREST DR
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City | HOUSTON
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State | TX
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Zip | 77045-4021
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Country | US
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Telephone | 281-690-3005
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Fax |
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Provider Business Mailing Address
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Address Line | 11850 BISSONNET ST # G263
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City | HOUSTON
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State | TX
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Zip | 77099-1991
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Country | US
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Telephone | 281-690-3005
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Fax |
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Authorized Official
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Title or Position | DIECTOR
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Name | DAVID D SNEED
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Credential |
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Telephone | 281-690-3005
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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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