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General NPI Number Information
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NPI Number | 1942538152
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Entity Type | Organization
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Legal Business Name | LIFE OPEN HEART,OPEN HOME
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Dates
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Enumeration Date | 11/28/2009
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 9422 HIGHWAY 80
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City | TERRELL
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State | TX
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Zip | 75161-6353
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Country | US
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Telephone | 972-551-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 9428 HIGHWAY 80
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City | TERRELL
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State | TX
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Zip | 75161-6353
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Country | US
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Telephone | 972-551-3155
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JULIA PENDARVIS GREER
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Credential | REGISTERED NURSE
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Telephone | 972-551-3155
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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 |
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License Number State |
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