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General NPI Number Information
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NPI Number | 1346314895
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Entity Type | Organization
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Legal Business Name | VALLEY ASSOCIATION FOR INDEPENDENT LIVING
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3016 N MCCOLL RD SUITE B
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City | MCALLEN
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State | TX
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Zip | 78501-5564
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Country | US
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Telephone | 956-668-8245
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Fax | 956-631-7296
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Provider Business Mailing Address
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Address Line | 3016 N MCCOLL RD SUITE B
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City | MCALLEN
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State | TX
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Zip | 78501-5564
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Country | US
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Telephone | 956-668-8245
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Fax | 956-631-7296
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. WOODROW W. JOHNSTON
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Credential | BACHELOR BUS. ADMIN.
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Telephone | 956-668-8245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | TX
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