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General NPI Number Information
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NPI Number | 1760825269
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Entity Type | Organization
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Legal Business Name | CLEARDAY CLUBS OF LEON VALLEY, LLC
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 6812 BANDERA RD SUITE 124
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1369
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Country | US
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Telephone | 210-647-8300
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Fax | 210-647-8304
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Provider Business Mailing Address
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Address Line | 6812 BANDERA RD SUITE 124
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1369
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Country | US
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Telephone | 210-647-8300
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Fax | 210-647-8304
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Authorized Official
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Title or Position | AUTHORIZED PERSON
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Name | BJ PARRISH
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Credential |
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Telephone | 210-451-0839
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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 | 135916
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License Number State | TX
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