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General NPI Number Information
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NPI Number | 1922044734
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Entity Type | Organization
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Legal Business Name | TRANSITIONAL LEARNING CENTER AT GALVESTON
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1275 SPACE PARK DR
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City | HOUSTON
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State | TX
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Zip | 77058-3311
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Country | US
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Telephone | 409-762-6661
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Fax | 409-763-3430
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Provider Business Mailing Address
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Address Line | 1275 SPACE PARK DR
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City | HOUSTON
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State | TX
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Zip | 77058-3311
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Country | US
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Telephone | 409-762-6661
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Fax | 409-763-3430
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Authorized Official
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Title or Position | CFO
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Name | JOHN DECKER
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Credential |
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Telephone | 409-762-6661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 140773
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License Number State | TX
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