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General NPI Number Information
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NPI Number | 1942539820
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Entity Type | Organization
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Legal Business Name | ALDERSGATE ENRICHMENT CENTER
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 5001 HIGHWAY 183/84 EAST
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City | BROWNWOOD
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State | TX
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Zip | 76804
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Country | US
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Telephone | 325-646-5608
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Fax | 325-643-6333
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Provider Business Mailing Address
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Address Line | PO BOX 1406
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City | BROWNWOOD
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State | TX
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Zip | 76804-1406
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Country | US
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Telephone | 325-646-5608
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Fax | 325-643-6333
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MICHELLE THOMAS
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Credential |
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Telephone | 355-646-5608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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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 |
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License Number State |
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