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General NPI Number Information
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NPI Number | 1902275878
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Entity Type | Organization
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Legal Business Name | DANSBY HOUSE INC
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 703 DEAN ST
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City | BRYAN
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State | TX
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Zip | 77803
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Country | US
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Telephone | 979-823-0610
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Fax |
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Provider Business Mailing Address
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Address Line | 703 DEAN ST
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City | BRYAN
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State | TX
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Zip | 77803-1481
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Country | US
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Telephone | 979-823-1030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. BARBARA BOONE
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Credential |
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Telephone | 979-224-0610
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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 | 000946
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License Number State | TX
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