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General NPI Number Information
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NPI Number | 1255736443
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Entity Type | Organization
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Legal Business Name | ALEGRIA, INC.
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 1101 C N PERRY RD
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City | CALEXICO
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State | CA
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Zip | 92231-9723
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Country | US
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Telephone | 760-768-8419
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Fax | 760-768-8491
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Provider Business Mailing Address
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Address Line | 1101 C N PERRY RD
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City | CALEXICO
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State | CA
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Zip | 92231-9723
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Country | US
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Telephone | 760-768-8419
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Fax | 760-768-8491
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | AIDE MUNOZ
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Credential |
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Telephone | 760-768-8419
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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 | 060000790
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License Number State | CA
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