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General NPI Number Information
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NPI Number | 1144524307
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Entity Type | Organization
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Legal Business Name | THE RANCH AT LA PLATA
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 121 WEST FOURTH
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City | HEREFORD
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State | TX
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Zip | 79045-5347
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Country | US
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Telephone | 806-360-3784
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Fax | 806-364-5097
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Provider Business Mailing Address
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Address Line | 121 WEST FOURTH
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City | HEREFORD
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State | TX
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Zip | 79045-5347
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Country | US
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Telephone | 806-360-3784
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Fax | 806-364-5097
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Authorized Official
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Title or Position | OWNER
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Name | MR. J.W. MEYER
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Credential |
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Telephone | 806-360-3784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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