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General NPI Number Information
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NPI Number | 1740577741
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Entity Type | Organization
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Legal Business Name | ONE CORNER AT A TIME
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 10/26/2018
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Provider Practice Location Address
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Address Line | 2678 CALDER ST STE B
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City | BEAUMONT
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State | TX
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Zip | 77702-1917
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Country | US
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Telephone | 409-832-0044
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Fax | 409-344-4315
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Provider Business Mailing Address
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Address Line | 2678 CALDER ST STE B
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City | BEAUMONT
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State | TX
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Zip | 77702-1917
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Country | US
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Telephone | 409-832-0044
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Fax | 409-344-4315
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. FATIHA VERONICA LOUISE PASCHAL
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Credential | RN
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Telephone | 210-884-6962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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