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General NPI Number Information
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NPI Number | 1972677540
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Entity Type | Organization
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Legal Business Name | GERIATRIC CARE OF TEXAS, INC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 135 1/2 E HOSPITAL DR
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City | ANGLETON
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State | TX
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Zip | 77515-4111
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Country | US
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Telephone | 979-849-8221
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Fax | 979-849-1941
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Provider Business Mailing Address
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Address Line | 135 1/2 E HOSPITAL DR
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City | ANGLETON
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State | TX
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Zip | 77515-4111
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Country | US
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Telephone | 979-849-8221
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Fax | 979-849-1941
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. VELDA PHELPS-WASSON
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Credential | LNFA
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Telephone | 979-849-8221
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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 | 114686
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License Number State | TX
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