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General NPI Number Information
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NPI Number | 1528361185
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Entity Type | Organization
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Legal Business Name | EL CENTRO ADULT DAY CARE
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 8463 E. HIGHWAY 107 SUITE B
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City | EDINBURG
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State | TX
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Zip | 78542
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Country | US
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Telephone | 956-609-9301
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Fax | 956-609-9332
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Provider Business Mailing Address
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Address Line | 8463 E. HIGHWAY 107 SUITE B
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City | EDINBURG
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State | TX
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Zip | 78542
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Country | US
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Telephone | 956-609-9301
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Fax | 956-609-9332
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Authorized Official
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Title or Position | OWNER
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Name | ROSA NELLY TAMEZ
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Credential |
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Telephone | 956-609-9301
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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 | 131036
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License Number State | TX
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