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General NPI Number Information
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NPI Number | 1952478653
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Entity Type | Organization
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Legal Business Name | ARC LAKEWAY SNF LLC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1917 LOHMANS CROSSING RD
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City | LAKEWAY
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State | TX
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Zip | 78734-5269
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Country | US
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Telephone | 512-261-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 1917 LOHMANS CROSSING RD
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City | LAKEWAY
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State | TX
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Zip | 78734-5269
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Country | US
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Telephone | 512-261-3211
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | ANNA F.C. MUNOZ
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Credential |
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Telephone | 414-918-5443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 120138
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License Number State | TX
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