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General NPI Number Information
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NPI Number | 1922388313
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Entity Type | Organization
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Legal Business Name | NEW DAY INTERMEDIATE CARE, LLC
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 4530 U S HIGHWAY 190 E
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City | LIVINGSTON
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State | TX
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Zip | 77351-1473
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Country | US
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Telephone | 936-327-7075
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Fax |
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Provider Business Mailing Address
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Address Line | 11722 GRAY FOREST TRAIL
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City | TOMBALL
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State | TX
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Zip | 77377-9311
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Country | US
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Telephone | 832-860-8417
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Fax | 832-559-8552
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. KERRY HEINZER
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Credential |
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Telephone | 832-860-8417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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