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General NPI Number Information
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NPI Number | 1679172936
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Entity Type | Organization
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Legal Business Name | RE-CARE INCORPORATED
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 200 UNIVERSITY BLVD STE 225-374
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City | ROUND ROCK
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State | TX
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Zip | 78665-1001
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Country | US
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Telephone | 877-732-2730
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Fax |
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Provider Business Mailing Address
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Address Line | 200 UNIVERSITY BLVD STE 225-374
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City | ROUND ROCK
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State | TX
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Zip | 78665-1001
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Country | US
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Telephone | 877-732-2730
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. CORINTHIA ALFORD
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Credential | BA,MS
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Telephone | 202-421-0483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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