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General NPI Number Information
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NPI Number | 1376150847
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Entity Type | Organization
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Legal Business Name | SIEMPRE UNIDOS ADULT DAY CARE, LLC
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 6600 N VAL VERDE RD STE F
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City | DONNA
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State | TX
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Zip | 78537-3833
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Country | US
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Telephone | 956-358-8716
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Fax |
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Provider Business Mailing Address
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Address Line | 6165 ITHACA ST
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City | DONNA
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State | TX
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Zip | 78537-2167
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Country | US
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Telephone | 956-358-8716
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/MANAGER
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Name | DANNIELLE A RUIZ
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Credential |
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Telephone | 956-358-8716
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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 |
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License Number State |
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