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General NPI Number Information
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NPI Number | 1043633357
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO SIMPLY LOVE ALL PEOPLE INC.
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 8165 LATIGO PLZ 1106 HIDDEN POND
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City | SAN ANTONIO
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State | TX
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Zip | 78227-2553
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Country | US
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Telephone | 210-693-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 8165 LATIGO PLZ 1106 HIDDEN POND
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City | SAN ANTONIO
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State | TX
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Zip | 78227-2553
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Country | US
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Telephone | 210-693-3733
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. GEORGE A. WILLIAMS JR.
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Credential |
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Telephone | 210-693-3733
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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 | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | 11002066711
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License Number State | TX
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