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General NPI Number Information
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NPI Number | 1053272351
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Entity Type | Organization
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Legal Business Name | CIELO AZUL LLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 40875 S FM 1015
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City | PROGRESO
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State | TX
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Zip | 78579
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Country | US
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Telephone | 956-607-6362
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Fax | 956-294-1219
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Provider Business Mailing Address
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Address Line | PO BOX 951
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City | PROGRESO
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State | TX
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Zip | 78579-0951
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Country | US
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Telephone | 956-607-6362
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Fax | 956-294-1219
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MELIDA ADRIANA MARQUEZ
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Credential |
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Telephone | 956-607-6362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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