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General NPI Number Information
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NPI Number | 1669693891
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Entity Type | Organization
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Legal Business Name | SANDSTONE HEALTH CARE, INC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 204 SOUTH CASA
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City | PHARR
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State | TX
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Zip | 78577
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Country | US
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Telephone | 956-787-9924
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Fax | 956-782-9607
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Provider Business Mailing Address
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Address Line | 206A LAUREL DR
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City | ROUND ROCK
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State | TX
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Zip | 78664
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Country | US
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Telephone | 512-346-9800
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Fax | 512-346-9840
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JUDITH H PRICE
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Credential | M. ED.
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Telephone | 512-346-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number | DSHS 2001
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License Number State | TX
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