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General NPI Number Information
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NPI Number | 1164640488
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Entity Type | Organization
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Legal Business Name | CALAB, INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 2503 ASH AVE
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City | LUBBOCK
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State | TX
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Zip | 79404-1621
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Country | US
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Telephone | 806-744-6408
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Fax | 806-767-0687
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Provider Business Mailing Address
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Address Line | 5313 50TH ST STE B
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City | LUBBOCK
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State | TX
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Zip | 79414-1800
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Country | US
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Telephone | 806-767-0685
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Fax | 806-767-0687
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KARLA A ROBERTS
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Credential |
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Telephone | 806-767-0685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 114755
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License Number State | TX
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