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General NPI Number Information
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NPI Number | 1952773830
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Entity Type | Organization
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Legal Business Name | OP OPS ARL TX, LLC
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 800 W RANDOL MILL RD FL 6
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City | ARLINGTON
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State | TX
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Zip | 76012-2504
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Country | US
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Telephone | 505-369-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 8820 HORIZON BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1689
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Country | US
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Telephone | 505-369-0079
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | MRS. KELLEY WHITAKER
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Credential |
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Telephone | 505-369-0079
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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 |
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License Number State | TX
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