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General NPI Number Information
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NPI Number | 1841369113
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Entity Type | Organization
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Legal Business Name | TEXAS OUR HOME INC.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 446 HIGHFALL DR
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City | DALLAS
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State | TX
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Zip | 75232-3608
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Country | US
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Telephone | 214-376-5173
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Fax | 972-223-6533
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Provider Business Mailing Address
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Address Line | 446 HIGHFALL DR
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City | DALLAS
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State | TX
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Zip | 75232-3608
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Country | US
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Telephone | 214-376-5173
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Fax | 972-223-6533
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RUBY P SHIELDS
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Credential |
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Telephone | 972-223-0670
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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 | 000985
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License Number State | TX
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