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General NPI Number Information
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NPI Number | 1346751807
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Entity Type | Organization
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Legal Business Name | GUIDINGWAY HEALTHCARE LLC
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 6326 SOVEREIGN ST STE 235
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5130
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Country | US
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Telephone | 210-929-8394
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Fax |
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Provider Business Mailing Address
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Address Line | 6326 SOVEREIGN ST STE 235
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5130
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Country | US
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Telephone | 210-929-8394
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA STEGALL
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Credential | LVN
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Telephone | 210-929-8394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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