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General NPI Number Information
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NPI Number | 1326347162
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Entity Type | Organization
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Legal Business Name | GARZA COUNTY TRAILBLAZERS
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 205 E 10TH ST
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City | POST
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State | TX
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Zip | 79356-3310
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Country | US
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Telephone | 806-495-2998
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Fax |
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Provider Business Mailing Address
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Address Line | 205 EAST 10TH
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City | POST
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State | TX
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Zip | 79356-3310
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Country | US
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Telephone | 806-495-2998
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Fax |
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | MR. LEE NORMAN
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Credential |
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Telephone | 806-495-2998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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