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General NPI Number Information
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NPI Number | 1194839431
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Entity Type | Organization
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Legal Business Name | ALEJANDRINA S. VELA DBA VIDA HEALTH CARE
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2024 W UNIVERSITY DR
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City | EDINBURG
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State | TX
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Zip | 78539-2832
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Country | US
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Telephone | 956-316-0153
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Fax | 956-316-0156
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Provider Business Mailing Address
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Address Line | 2024 W UNIVERSITY DR
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City | EDINBURG
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State | TX
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Zip | 78539-2832
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Country | US
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Telephone | 956-316-0153
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Fax | 956-316-0156
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALEJANDRINA S. VELA
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Credential |
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Telephone | 956-316-0153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 117460
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License Number State | TX
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