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NPI 1336411206

NPI 1336411206 : MOSV INC : PALMVIEW, TX

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General NPI Number Information
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    NPI Number           |    1336411206
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    Entity Type          |    Organization 
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    Legal Business Name  |    MOSV INC 
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Dates
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    Enumeration Date     |    02/07/2012
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    Last Update Date     |    01/08/2019
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Provider Practice Location Address
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    Address Line         |    700 PALMVIEW COMMERCIAL DR 
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    City                 |    PALMVIEW
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    State                |    TX
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    Zip                  |    78574-0393
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    Country              |    US
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    Telephone            |    956-519-5292
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    Fax                  |    956-519-5293
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Provider Business Mailing Address
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    Address Line         |    2308 SILVERADO N 
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78573-8470
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    Country              |    US
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    Telephone            |    956-212-2379
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    Fax                  |    956-992-9192
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ORALIA  GARZA 
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    Credential           |    
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    Telephone            |    956-212-2379
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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       |    129810
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    License Number State |    TX
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