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NPI 1821401738

NPI 1821401738 : CARROLL PARTNERS INVESTMENT INC : HAWKINS, TX

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General NPI Number Information
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    NPI Number           |    1821401738
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARROLL PARTNERS INVESTMENT INC 
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Dates
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    Enumeration Date     |    06/09/2014
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    Last Update Date     |    07/20/2020
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Provider Practice Location Address
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    Address Line         |    698 NORTH BEAULAH ST 
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    City                 |    HAWKINS
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    State                |    TX
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    Zip                  |    75765
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    Country              |    US
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    Telephone            |    903-769-9105
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    Fax                  |    903-769-9019
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1069 
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    City                 |    HAWKINS
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    State                |    TX
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    Zip                  |    75765
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    Country              |    US
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    Telephone            |    903-638-3880
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    Fax                  |    903-769-9105
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. OSMA  CARROLL JR.
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    Credential           |    
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    Telephone            |    903-638-3880
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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       |    136763
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    134117
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    139436
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    136115
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    License Number State |    TX
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Taxonomy #5
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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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