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General NPI Number Information
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NPI Number | 1013279124
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Entity Type | Organization
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Legal Business Name | AMANI-IMANI FOUNDATION
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 3145 CENTER POINT DR
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City | EDINBURG
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State | TX
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Zip | 78539-8433
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Country | US
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Telephone | 956-292-9106
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Fax |
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Provider Business Mailing Address
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Address Line | 7106 CHESTNUT OAK LN
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3063
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Country | US
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Telephone | 956-292-9106
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Fax |
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Authorized Official
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Title or Position | TEACHER
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Name | CHARLES OBARE
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Credential | CERTIFIED TEACHER
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Telephone | 956-292-9106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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