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General NPI Number Information
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NPI Number | 1669784187
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Entity Type | Organization
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Legal Business Name | AVANCE CARE & TRAINING SERVICES, INC.
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 328 W MAYFIELD BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1048
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Country | US
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Telephone | 210-932-2287
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Fax | 210-932-2283
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Provider Business Mailing Address
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Address Line | 328 W MAYFIELD BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1048
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Country | US
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Telephone | 210-932-2287
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Fax | 210-932-2283
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MICHAEL SALAZAR
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Credential |
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Telephone | 210-932-2287
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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 | 000521
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 000521
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 000521
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License Number State | TX
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