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General NPI Number Information
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NPI Number | 1356607907
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Entity Type | Organization
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Legal Business Name | RAINBOW HEALTH SERVICES INC.
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 700 E SAINT CHARLES ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-5262
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Country | US
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Telephone | 956-548-2929
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Fax | 956-548-2932
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Provider Business Mailing Address
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Address Line | 2914 BAY HILL CT
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City | HARLINGEN
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State | TX
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Zip | 78550-7825
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Country | US
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Telephone | 956-343-5202
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Fax | 956-428-3051
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. LUISA R CASTILLO
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Credential |
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Telephone | 956-343-5202
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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 | 132792
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License Number State | TX
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