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General NPI Number Information
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NPI Number | 1568686293
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Entity Type | Organization
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Legal Business Name | CALAB, INC.
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 7123 SPRING MORNING
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2616
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Country | US
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Telephone | 210-647-0191
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Fax | 210-647-7637
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Provider Business Mailing Address
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Address Line | 6470 HEATH RD
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City | SAN ANTONIO
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State | TX
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Zip | 78250-4621
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Country | US
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Telephone | 210-647-0191
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Fax | 210-647-7637
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Authorized Official
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Title or Position | REGIONAL PROGRAM DIRECTOR
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Name | AMY MCMAHAN
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Credential |
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Telephone | 210-647-0191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 121353
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License Number State | TX
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