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General NPI Number Information
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NPI Number | 1669617510
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Entity Type | Organization
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Legal Business Name | SUMMIT CONTRACT THERAPY CENTER, LLC
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Dates
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Enumeration Date | 12/06/2008
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 2331 NW MILITARY HWY
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City | SAN ANTONIO
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State | TX
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Zip | 78231-2502
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Country | US
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Telephone | 210-617-7716
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Fax | 210-617-7716
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Provider Business Mailing Address
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Address Line | 2331 NW MILITARY HWY
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City | SAN ANTONIO
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State | TX
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Zip | 78231-2502
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Country | US
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Telephone | 210-617-7716
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Fax | 210-617-7716
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Authorized Official
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Title or Position | OWNER, LICENSED OTA
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Name | MRS. LESLIE HOUSE FRIEDEL
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Credential | LOTA
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Telephone | 210-725-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 208277
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License Number State | TX
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