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General NPI Number Information
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NPI Number | 1225047939
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Entity Type | Organization
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Legal Business Name | CHAPA RESIDENTIAL CARE HOME
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 216 W COUNTY ROAD 5719
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City | DEVINE
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State | TX
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Zip | 78016-4028
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Country | US
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Telephone | 830-709-4420
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Fax | 830-709-5038
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Provider Business Mailing Address
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Address Line | 216 W COUNTY ROAD 5719
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City | DEVINE
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State | TX
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Zip | 78016-4028
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Country | US
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Telephone | 830-709-4420
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Fax | 830-709-5038
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Authorized Official
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Title or Position | OWNER/ ADMINISTRATOR
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Name | MRS. ANGEL DUNCAN CHAPA
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Credential |
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Telephone | 830-665-5294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number | 000578
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License Number State | TX
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