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General NPI Number Information
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NPI Number | 1174676415
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Entity Type | Organization
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Legal Business Name | TEXARKANA SPECIAL EDUCATION CENTER, INC.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 6101 N STATE LINE AVE
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City | TEXARKANA
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State | TX
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Zip | 75503-5309
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Country | US
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Telephone | 903-791-2270
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Fax | 903-792-0816
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Provider Business Mailing Address
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Address Line | 6101 N STATE LINE AVE
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City | TEXARKANA
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State | TX
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Zip | 75503-5309
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Country | US
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Telephone | 903-791-2270
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Fax | 903-792-0816
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. SHERRY YOUNG
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Credential |
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Telephone | 903-791-2270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 116956
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | PT1532
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | SP#477
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1158790
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 100348
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 109611
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 152450
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 116469
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | DDS COMMUNITY PROGRA
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License Number State | AR
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Taxonomy #11
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | DDS COMMUNITY PROGRA
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License Number State | AR
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