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General NPI Number Information
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NPI Number | 1891946638
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Entity Type | Organization
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Legal Business Name | THE RANCH AT DOVE TREE LLC
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1406 QUINLAN ST
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City | LUBBOCK
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State | TX
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Zip | 79403
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Country | US
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Telephone | 888-977-9264
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Fax |
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Provider Business Mailing Address
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Address Line | 1406 E COUNTY ROAD 5800
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City | LUBBOCK
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State | TX
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Zip | 79403-6700
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Country | US
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Telephone | 817-778-8503
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Fax | 817-310-1086
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | PAUL GILBERT
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Credential |
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Telephone | 615-716-4924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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