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General NPI Number Information
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NPI Number | 1619001898
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Entity Type | Organization
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Legal Business Name | CARINO ADULT DAY CARE II, INC.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5400 MAVERICK RD 4975 CAMINO DEL SOL
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City | BROWNSVILLE
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State | TX
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Zip | 78521-6303
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Country | US
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Telephone | 956-554-7844
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Fax | 956-554-9934
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Provider Business Mailing Address
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Address Line | 5400 MAVERICK RD P.O. BOX 127
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City | BROWNSVILLE
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State | TX
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Zip | 78521-6303
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Country | US
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Telephone | 956-554-7844
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Fax | 956-554-9934
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Authorized Official
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Title or Position | OWNER
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Name | MS. GABRIELA TORRE
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Credential |
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Telephone | 956-554-7844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 119987
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License Number State | TX
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