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General NPI Number Information
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NPI Number | 1568399129
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Entity Type | Organization
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Legal Business Name | RIO CAMINO RANCH LLC
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 17606 TUCKER PL
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City | SAN ANTONIO
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State | TX
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Zip | 78221-5493
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Country | US
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Telephone | 210-460-3250
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Fax | 210-568-6840
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Provider Business Mailing Address
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Address Line | 520 E VINE ST UNIT 1660
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City | KELLER
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State | TX
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Zip | 76248-2300
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Country | US
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Telephone | 210-460-3250
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Fax | 210-568-6840
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JONATHAN JANEIRO
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Credential |
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Telephone | 850-491-4993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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