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General NPI Number Information
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NPI Number | 1942878087
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Entity Type | Organization
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Legal Business Name | QUALITY SENIOR HOUSING FOUNDATION OF EAST TEXAS INC
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 930 W 1ST ST STE 400
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City | FORT WORTH
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State | TX
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Zip | 76102-2743
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Country | US
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Telephone | 817-454-5561
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 E COKE RD # B
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City | WINNSBORO
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State | TX
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Zip | 75494-3536
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Country | US
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Telephone | 817-454-5561
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Fax |
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Authorized Official
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Title or Position | ASSISTANT VPO
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Name | KATIE BAILEY
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Credential |
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Telephone | 817-454-5561
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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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