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General NPI Number Information
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NPI Number | 1881302602
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Entity Type | Organization
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Legal Business Name | ROSEMARY HOUSE OF ORANGE, LLC
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 3125 W PARK AVE
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City | ORANGE
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State | TX
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Zip | 77630-2021
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Country | US
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Telephone | 409-201-3016
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Fax | 409-299-3409
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Provider Business Mailing Address
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Address Line | 3120 FANNIN ST
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City | BEAUMONT
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State | TX
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Zip | 77701
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Country | US
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Telephone | 409-201-3016
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Fax | 409-299-3409
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER R BURCH
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Credential |
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Telephone | 409-201-3016
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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 |
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License Number State |
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