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General NPI Number Information
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NPI Number | 1063399392
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Entity Type | Organization
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Legal Business Name | DIAS DE GRACIA ADULT DAY CARE LLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 602 E AUSTIN AVE
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City | ALAMO
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State | TX
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Zip | 78516-5526
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Country | US
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Telephone | 281-300-6861
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 N MCCOLL RD APT 6
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City | MCALLEN
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State | TX
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Zip | 78501-0029
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Country | US
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Telephone | 281-300-6861
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DANIELA MICHELLE GONZALEZ
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Credential |
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Telephone | 281-300-6861
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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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