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General NPI Number Information
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NPI Number | 1093097578
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Entity Type | Organization
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Legal Business Name | WORKACCESS
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 2740 HUNTERS GREEN ST
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City | SAN ANTONIO
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State | TX
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Zip | 78231-1613
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Country | US
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Telephone | 830-714-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 3918 CORTONA WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78260-2579
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Country | US
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Telephone | 830-714-9280
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. KATHY OLUBUNMI OGUNDOKUN
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Credential |
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Telephone | 254-458-1084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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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 | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | TX
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