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General NPI Number Information
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NPI Number | 1427126937
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Entity Type | Organization
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Legal Business Name | PRABETG INC.
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 6292 MONTGOMERY SUITE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78239-3237
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Country | US
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Telephone | 210-590-6840
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Fax | 210-590-7559
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Provider Business Mailing Address
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Address Line | 6292 MONTGOMERY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78239-3237
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Country | US
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Telephone | 210-590-6840
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Fax | 210-590-7559
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICE
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Name | MR. BRIAN A. THOMAS
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Credential |
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Telephone | 210-464-6089
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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 | 121771
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License Number State | TX
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