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General NPI Number Information
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NPI Number | 1568880474
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Entity Type | Organization
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Legal Business Name | CINDYS PLACE
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Dates
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Enumeration Date | 03/29/2014
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Last Update Date | 03/29/2014
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Provider Practice Location Address
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Address Line | 16906 TURKEYPOINT ST
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1831
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Country | US
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Telephone | 210-255-8056
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Fax | 210-233-1038
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Provider Business Mailing Address
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Address Line | 16906 TURKEYPOINT ST
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1831
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Country | US
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Telephone | 210-255-8056
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Fax | 210-233-1038
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDETTE CYNTHIA ROBERTS
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Credential | RN
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Telephone | 210-255-8056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 137591
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License Number State | TX
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