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General NPI Number Information
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NPI Number | 1972503720
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Entity Type | Organization
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Legal Business Name | TELESIS-PARKWOOD CARE I, LTD.
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 2600 PARKVIEW LN
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City | BEDFORD
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State | TX
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Zip | 76022-7989
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Country | US
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Telephone | 817-267-7373
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Fax | 817-354-1808
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Provider Business Mailing Address
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Address Line | 2600 PARKVIEW LN
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City | BEDFORD
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State | TX
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Zip | 76022-7989
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Country | US
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Telephone | 817-267-7373
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Fax | 817-354-1808
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Authorized Official
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Title or Position | SECRETARY
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Name | MS. BETTY Y. JANKO
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Credential |
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Telephone | 214-826-6870
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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 | 000268
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License Number State | TX
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