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General NPI Number Information
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NPI Number | 1649468950
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Entity Type | Organization
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Legal Business Name | PLEASANT VALLEY ENTERPRIZES INC.
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 2700 E GRIFFIN PKWY SUITE B
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City | MISSION
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State | TX
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Zip | 78572-3323
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Country | US
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Telephone | 956-664-2663
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Fax | 956-994-9426
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Provider Business Mailing Address
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Address Line | 2700 E. GRIFFIN PARKWAY SUITE B
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City | MISSION
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State | TX
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Zip | 78572
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Country | US
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Telephone | 956-664-2663
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Fax | 956-994-9426
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SAN JUANITA PATRICIA SAENZ
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Credential |
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Telephone | 956-664-2663
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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 | 120690
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 120690
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License Number State | TX
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