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General NPI Number Information
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NPI Number | 1457519944
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Entity Type | Organization
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Legal Business Name | MIS AMIGOS ADULT DAY CARE CENTER
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 2111 W SPRAGUE ST
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City | EDINBURG
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State | TX
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Zip | 78539-3189
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Country | US
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Telephone | 956-380-6238
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 E GRIFFIN PKWY
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City | MISSION
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State | TX
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Zip | 78572-3222
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Country | US
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Telephone | 956-584-8484
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDRES A ALVAREZ
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Credential |
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Telephone | 956-584-8484
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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 | 122901
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License Number State | TX
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