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General NPI Number Information
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NPI Number | 1588474563
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Entity Type | Organization
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Legal Business Name | FOUNDATION OF LOVE
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 117 N 17TH ST
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City | MCALLEN
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State | TX
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Zip | 78501-4740
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Country | US
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Telephone | 318-436-9717
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Fax |
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Provider Business Mailing Address
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Address Line | 604 W NEVADA AVE
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City | VIVIAN
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State | LA
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Zip | 71082-3040
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Country | US
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Telephone | 318-436-9717
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Fax |
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Authorized Official
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Title or Position | NURSE
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Name | LONNIA RENA SANDERS
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Credential |
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Telephone | 318-436-9717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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