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General NPI Number Information
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NPI Number | 1649544909
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Entity Type | Organization
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Legal Business Name | LOVE AND CARE INC.
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 817 I-30 APT 913
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City | MESQUITE
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State | TX
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Zip | 75150-7482
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Country | US
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Telephone | 214-277-1719
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Fax |
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Provider Business Mailing Address
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Address Line | 817 I-30 APT 913
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City | MESQUITE
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State | TX
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Zip | 75150-7482
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Country | US
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Telephone | 214-277-1719
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | JODY JOHNATHON GONZALES
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Credential |
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Telephone | 214-277-1719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 801559087
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 801559087
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License Number State | TX
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