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General NPI Number Information
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NPI Number | 1093271660
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Entity Type | Organization
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Legal Business Name | KLEBERG COUNTY HUMAN SERVICES
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 1109 E SANTA GERTRUDIS ST
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City | KINGSVILLE
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State | TX
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Zip | 78363-4711
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Country | US
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Telephone | 361-595-8572
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 E SANTA GERTRUDIS ST
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City | KINGSVILLE
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State | TX
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Zip | 78363-4711
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Country | US
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Telephone | 361-595-8572
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Fax |
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Authorized Official
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Title or Position | COUNTY JUDGE
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Name | RUDY MADRID
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Credential |
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Telephone | 361-595-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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