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General NPI Number Information
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NPI Number | 1164868998
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1311 E GENERAL CAVAZOS BLVD STE 303C
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City | KINGSVILLE
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State | TX
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Zip | 78363-7123
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Country | US
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Telephone | 361-592-3237
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Fax | 361-221-1856
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Provider Business Mailing Address
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Address Line | 204 E 1ST ST
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City | ALICE
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State | TX
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Zip | 78332-4822
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Country | US
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Telephone | 361-664-0145
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ANN E AWALT
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Credential |
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Telephone | 361-664-0145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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