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General NPI Number Information
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NPI Number | 1699003954
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Entity Type | Organization
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Legal Business Name | CAPE SERVICES, LLC
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 11/25/2009
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Provider Practice Location Address
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Address Line | 1700 COMMERCE ST SUITE 710
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City | DALLAS
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State | TX
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Zip | 75201-5314
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Country | US
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Telephone | 214-232-6588
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Fax | 214-741-4379
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Provider Business Mailing Address
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Address Line | 1700 COMMERCE ST SUITE 710
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City | DALLAS
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State | TX
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Zip | 75201-5314
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Country | US
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Telephone | 214-232-6588
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Fax | 214-741-4379
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Authorized Official
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Title or Position | OWNER/CRC
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Name | DR. MICHAEL D BECERRA
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Credential |
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Telephone | 214-232-6588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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