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General NPI Number Information
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NPI Number | 1710390752
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Entity Type | Organization
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Legal Business Name | ALLIANCE DAYCARE CENTER, INC
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Dates
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Enumeration Date | 06/06/2014
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 9650 DATAPOINT DR STE 106
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City | SAN ANTONIO
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State | TX
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Zip | 78229-2060
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Country | US
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Telephone | 210-875-0229
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Fax | 210-593-0434
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Provider Business Mailing Address
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Address Line | 9650 DATAPOINT DR STE 106
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City | SAN ANTONIO
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State | TX
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Zip | 78229-2060
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Country | US
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Telephone | 210-875-0229
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Fax | 210-593-0434
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DADIRI Y JAMA
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Credential | N/A
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Telephone | 210-875-0229
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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 |
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License Number State | TX
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