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General NPI Number Information
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NPI Number | 1376055301
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Entity Type | Individual
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Provider Name | MRS. QUANEKA HOSKIN-CHASE
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Gender | Female
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3201 CHERRY RIDGE ST STE D400
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City | SAN ANTONIO
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State | TX
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Zip | 78230-4820
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Country | US
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Telephone | 210-620-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 6618 WINDING FARM
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City | SAN ANTONIO
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State | TX
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Zip | 78249-4538
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 115428
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License Number State | TX
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