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General NPI Number Information
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NPI Number | 1831010545
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Entity Type | Organization
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Legal Business Name | 2550 ZACATECAS DR OPCO LLC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 2550 ZACATECAS DR
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City | EAGLE PASS
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State | TX
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Zip | 78852-4129
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Country | US
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Telephone | 830-773-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 ZACATECAS DR
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City | EAGLE PASS
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State | TX
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Zip | 78852-4129
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Country | US
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Telephone | 830-773-4488
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NOCHUM FREUND
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Credential |
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Telephone | 732-719-5098
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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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