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General NPI Number Information
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NPI Number | 1609284918
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Entity Type | Organization
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Legal Business Name | MEDINA SENIOR CENTER, INC.
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 808A HARPER
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City | HONDO
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State | TX
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Zip | 78861-2000
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Country | US
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Telephone | 830-741-6160
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Fax | 830-741-6164
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Provider Business Mailing Address
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Address Line | 808A HARPER
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City | HONDO
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State | TX
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Zip | 78861-2000
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Country | US
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Telephone | 830-741-6160
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Fax | 830-741-6164
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SONYA TOALSON
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Credential |
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Telephone | 830-741-6160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | TX
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