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General NPI Number Information
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NPI Number | 1225544612
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Entity Type | Organization
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Legal Business Name | NCOQ, LP
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 12/20/2017
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Provider Practice Location Address
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Address Line | 16302 PUMA PASS ST
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City | SAN ANTONIO
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State | TX
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Zip | 78247-1330
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Country | US
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Telephone | 210-385-5416
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160482
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City | SAN ANTONIO
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State | TX
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Zip | 78280-2682
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGEMENT CONSULTANT
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Name | MELANIE GAGLIARDO
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Credential |
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Telephone | 210-385-5416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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