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General NPI Number Information
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NPI Number | 1861696288
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Entity Type | Organization
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Legal Business Name | BAIRD LONG TERM CARE, LLC
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 224 E 6TH ST
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City | BAIRD
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State | TX
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Zip | 79504-3606
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Country | US
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Telephone | 325-854-1429
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Fax |
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Provider Business Mailing Address
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Address Line | 526 TEXAS PT
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7738
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Country | US
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Telephone | 210-316-7790
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. DAVID LAIN BYERS
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Credential |
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Telephone | 210-316-7790
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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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