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General NPI Number Information
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NPI Number | 1548351430
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Entity Type | Organization
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Legal Business Name | COMMUNITY GUIDANCE CENTER
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2135 BABCOCK RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4499
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Country | US
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Telephone | 210-614-7070
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Fax | 210-615-0249
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Provider Business Mailing Address
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Address Line | 2135 BABCOCK RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4499
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Country | US
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Telephone | 210-614-7070
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Fax | 210-615-0249
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Authorized Official
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Title or Position | EXEC VICE PRESIDENT
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Name | MR. EDWARD H SCHMIDT
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Credential |
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Telephone | 210-614-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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