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General NPI Number Information
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NPI Number | 1942328844
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Entity Type | Organization
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Legal Business Name | DENTON ASSISTED LIVING, L.P.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 01/18/2021
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Provider Practice Location Address
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Address Line | 1357 BERNARD ST
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City | DENTON
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State | TX
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Zip | 76201-7129
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Country | US
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Telephone | 817-861-8442
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Fax | 817-549-9881
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Provider Business Mailing Address
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Address Line | 1615 W ABRAM ST SUITE 201
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City | ARLINGTON
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State | TX
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Zip | 76013-1788
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Country | US
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Telephone | 817-861-8442
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Fax | 817-274-8679
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Authorized Official
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Title or Position | REPRESENTATIVE
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Name | CHRISTY JORDAN
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Credential |
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Telephone | 817-861-8442
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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 | 117726
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License Number State | TX
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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 | 001001159
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License Number State | TX
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