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General NPI Number Information
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NPI Number | 1376669200
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Entity Type | Organization
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Legal Business Name | ALPHA NURSING & THERAPY LLC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 7272 WURZBACH RD STE 302
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City | SAN ANTONIO
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State | TX
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Zip | 78240-4802
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Country | US
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Telephone | 210-593-9803
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Fax |
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Provider Business Mailing Address
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Address Line | 7272 WURZBACH RD STE 302
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City | SAN ANTONIO
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State | TX
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Zip | 78240-4802
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Country | US
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Telephone | 210-593-9803
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARIO RODRIGUEZ
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Credential |
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Telephone | 210-593-9803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 012030
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License Number State | TX
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