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General NPI Number Information
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NPI Number | 1457551749
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Entity Type | Organization
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Legal Business Name | MAHARLIKA RESOURCES, INC.
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 2201 JUNCTION HWY
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City | KERRVILLE
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State | TX
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Zip | 78028-9392
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Country | US
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Telephone | 830-792-4001
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Fax | 866-838-4666
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Provider Business Mailing Address
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Address Line | 11913 PASEO DORADO CIR
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City | EL PASO
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State | TX
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Zip | 79936-3785
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Country | US
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Telephone | 915-329-1039
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Fax | 866-838-4666
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Authorized Official
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Title or Position | CEO
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Name | DIONICIO R RIVERA
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Credential |
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Telephone | 915-329-1039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 102640
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License Number State | TX
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