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General NPI Number Information
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NPI Number | 1881168136
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Entity Type | Organization
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Legal Business Name | NEXT GEN SP LLC
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 2601 W RANDOL MILL RD
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City | ARLINGTON
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State | TX
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Zip | 76012-4289
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Country | US
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Telephone | 817-274-5571
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Fax |
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Provider Business Mailing Address
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Address Line | 3310 W BRAKER LN STE 300-902
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City | AUSTIN
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State | TX
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Zip | 78758-7853
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Country | US
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Telephone | 512-482-8242
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHARLYN THREADGILL
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Credential |
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Telephone | 512-482-8242
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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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