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NPI 1447011986

NPI 1447011986 : SAN ANTONIO CAREER CENTER : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1447011986
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAN ANTONIO CAREER CENTER 
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Dates
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    Enumeration Date     |    01/22/2024
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    Last Update Date     |    02/14/2024
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Provider Practice Location Address
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    Address Line         |    3000 E HOUSTON ST 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78219-3713
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    Country              |    US
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    Telephone            |    817-829-3921
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    805 CAMELIA CT 
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    City                 |    DESOTO
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    State                |    TX
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    Zip                  |    75115-1510
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    Country              |    US
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    Telephone            |    817-829-3921
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     BETTINA  ROGERS-MALLETT 
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    Credential           |    
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    Telephone            |    817-829-3921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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Taxonomy #3
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    347E00000X
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    Taxonomy Name        |    Transportation Broker
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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