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General NPI Number Information
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NPI Number | 1013310333
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Entity Type | Organization
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Legal Business Name | IRALPH.COM LLC
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 9701 LANCASHIRE DR N
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City | ROCKWALL
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State | TX
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Zip | 75087-8774
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Country | US
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Telephone | 214-543-9909
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Fax | 214-594-9017
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Provider Business Mailing Address
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Address Line | 9701 LANCASHIRE DR N
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City | ROCKWALL
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State | TX
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Zip | 75087-8774
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Country | US
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Telephone | 214-543-9909
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Fax | 214-594-9017
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. RALPH RIVERA GONZALES
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Credential | M.S.
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Telephone | 214-543-9909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State | TX
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