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General NPI Number Information
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NPI Number | 1669514899
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Entity Type | Organization
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Legal Business Name | EDINBURG ADULT DAY CARE
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 910 E MONTE CRISTO RD
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City | EDINBURG
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State | TX
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Zip | 78541-8635
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Country | US
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Telephone | 956-383-3383
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Fax |
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Provider Business Mailing Address
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Address Line | 910 E MONTE CRISTO RD
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City | EDINBURG
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State | TX
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Zip | 78541-8635
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Country | US
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Telephone | 956-383-3383
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARTHA SILVA FLORES
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Credential |
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Telephone | 956-383-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 101368
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License Number State | TX
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