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General NPI Number Information
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NPI Number | 1386820777
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Entity Type | Organization
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Legal Business Name | BEXAR COUNTY JUVENILE PROBATION DEPARTMENT
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 235 E MITCHELL ST REIMBURSEMENT OFFICE
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City | SAN ANTONIO
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State | TX
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Zip | 78210-3844
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Country | US
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Telephone | 210-531-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 235 E. MITCHELL ST. REIMBURSEMENT OFFICE
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City | SAN ANTONIO
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State | TX
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Zip | 78210-3845
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Country | US
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Telephone | 210-531-1000
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Fax |
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Authorized Official
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Title or Position | CHIEF JUVENILE PROBATION OFFICER
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Name | DAVID J REILLY
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Credential |
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Telephone | 210-531-1813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 17416
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License Number State | TX
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