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General NPI Number Information
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NPI Number | 1174754741
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Entity Type | Organization
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Legal Business Name | ANGELS' CROSSING, INC.
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 305 COUNTY ROAD 473
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City | CASTROVILLE
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State | TX
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Zip | 78009-3417
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Country | US
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Telephone | 830-538-3456
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Fax |
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Provider Business Mailing Address
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Address Line | 305 COUNTY ROAD 473
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City | CASTROVILLE
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State | TX
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Zip | 78009-3417
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Country | US
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Telephone | 830-538-3456
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Fax | 830-538-3457
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ANGELITA T BENDELE
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Credential |
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Telephone | 830-538-3456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 846480
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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