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General NPI Number Information
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NPI Number | 1508072000
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Entity Type | Organization
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Legal Business Name | FE CARE INC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 19365 FM 2252 SUITE 9
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2566
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Country | US
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Telephone | 210-651-3077
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Fax |
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Provider Business Mailing Address
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Address Line | 19365 FM 2252 SUITE 9
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2565
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Country | US
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Telephone | 210-651-3077
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Fax |
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Authorized Official
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Title or Position | PRESIDENT ADMINISTRATION
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Name | LIONEL R FLORES JR.
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Credential |
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Telephone | 210-651-3077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State |
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