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General NPI Number Information
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NPI Number | 1396890729
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Entity Type | Organization
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Legal Business Name | LA PUESTA DEL SOL INC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1215 S EXPRESSWAY 281
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City | EDINBURG
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State | TX
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Zip | 78539-7220
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Country | US
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Telephone | 956-381-1189
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 S EXPRESSWAY 281
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City | EDINBURG
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State | TX
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Zip | 78539-7220
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Country | US
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Telephone | 956-381-1189
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANDRA LACY
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Credential |
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Telephone | 956-381-1189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 2351A
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License Number State | TX
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