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General NPI Number Information
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NPI Number | 1427339910
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Entity Type | Organization
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Legal Business Name | SAN JUANITA G. HINOJOSA
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 1118 LOYOLA DR
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City | EDINBURG
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State | TX
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Zip | 78541-5189
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Country | US
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Telephone | 956-821-2711
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Fax | 956-287-4880
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Provider Business Mailing Address
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Address Line | 1118 LOYOLA DR
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City | EDINBURG
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State | TX
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Zip | 78541-5189
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Country | US
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Telephone | 956-821-2711
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Fax | 956-287-4880
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Authorized Official
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Title or Position | CASE MANAGEMENT
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Name | MRS. SAN JUANITA G. HINOJOSA
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Credential | LMSW-IPR
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Telephone | 956-821-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 32006
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License Number State | TX
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