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NPI 1750786679

NPI 1750786679 : LAS FLOREZ ADULT DAY CARE LLC : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1750786679
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAS FLOREZ ADULT DAY CARE LLC 
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Dates
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    Enumeration Date     |    11/04/2014
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    Last Update Date     |    11/14/2014
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Provider Practice Location Address
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    Address Line         |    2214 N 10TH ST 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-4002
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    Country              |    US
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    Telephone            |    956-250-6164
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2214 N 10TH ST 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-4002
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    Country              |    US
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    Telephone            |    956-250-6164
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     JENNY  KNIGHT 
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    Credential           |    
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    Telephone            |    956-739-9262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    NULL
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