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General NPI Number Information
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NPI Number | 1083529317
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Entity Type | Organization
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Legal Business Name | ZURALEIGH COLLECTIVE INC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 7550 W IH 10 SUITE 800 #4087
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5814
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Country | US
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Telephone | 210-864-8040
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Fax |
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Provider Business Mailing Address
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Address Line | 7550 W IH 10 SUITE 800 #4087
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5814
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Country | US
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Telephone | 210-864-8040
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. KEDRICK J ST FLOYD
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Credential | MSN, APRN, PMHNP-BC
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Telephone | 210-864-8040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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