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General NPI Number Information
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NPI Number | 1386942464
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Entity Type | Organization
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Legal Business Name | MI HERMOSO VALLE ADULT DAY CARE, L.L.C.
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 3101 E MAIN AVE
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City | ALTON
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State | TX
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Zip | 78573
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Country | US
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Telephone | 956-585-0527
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Fax | 956-585-0520
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Provider Business Mailing Address
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Address Line | 3101 E MAIN AVE
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City | ALTON
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State | TX
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Zip | 78573
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Country | US
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Telephone | 956-585-0527
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Fax | 956-585-0520
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ANAYSA L ALVAREZ
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Credential |
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Telephone | 956-585-0527
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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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