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General NPI Number Information
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NPI Number | 1841676665
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Entity Type | Organization
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Legal Business Name | GRUENEPOINTE 1 RIVER CITY, LLC
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 921 NOLAN ST
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City | SAN ANTONIO
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State | TX
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Zip | 78202-2323
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Country | US
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Telephone | 210-226-6397
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Fax |
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Provider Business Mailing Address
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Address Line | 8502 HUEBNER RD STE 400
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2466
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Country | US
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Telephone | 210-757-4987
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. KURT DULLNIG
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Credential |
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Telephone | 210-757-4987
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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 | APPLIED FOR
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License Number State | TX
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