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General NPI Number Information
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NPI Number | 1003932419
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Entity Type | Organization
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Legal Business Name | SAN MARCOS CISD
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 540 STAPLES RD
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City | SAN MARCOS
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State | TX
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Zip | 78666-1406
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Country | US
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Telephone | 512-393-6323
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Fax | 512-393-6338
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Provider Business Mailing Address
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Address Line | 540 STAPLES RD
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City | SAN MARCOS
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State | TX
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Zip | 78666-1406
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Country | US
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Telephone | 512-393-6323
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Fax | 512-393-6338
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MS. ASHLEY HENDERSON BARRETT
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Credential | LCSW
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Telephone | 512-393-6323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | S19322
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License Number State | TX
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