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General NPI Number Information
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NPI Number | 1235383977
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Entity Type | Organization
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Legal Business Name | AUTISM SERVICE CENTER OF SAN ANTONIO
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 701 S ZARZAMORA ST COTTAGE #1
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City | SAN ANTONIO
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State | TX
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Zip | 78207-5209
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Country | US
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Telephone | 210-435-1000
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Fax | 210-200-6056
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Provider Business Mailing Address
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Address Line | 701 S ZARZAMORA ST COTTAGE #1
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City | SAN ANTONIO
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State | TX
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Zip | 78207-5209
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Country | US
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Telephone | 210-435-1000
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Fax | 210-200-6056
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JESSICA H. FRANCO
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Credential | PHD,CCC-SLP,BCBA
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Telephone | 210-435-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | PENDING
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-02-0778
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 19168
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License Number State | TX
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