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General NPI Number Information
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NPI Number | 1770769945
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Entity Type | Organization
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Legal Business Name | FE ADULT DAY CARE INC
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 505 OLD ALICE RD FE ADULT CARE INC
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City | BROWNSVILLE
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State | TX
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Zip | 78520
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Country | US
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Telephone | 956-574-9175
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Fax | 956-831-3963
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Provider Business Mailing Address
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Address Line | 505 OLD ALICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78520
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Country | US
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Telephone | 956-574-9175
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Fax | 956-831-3963
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MISS BELINDA GONZALEZ
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Credential |
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Telephone | 956-574-9175
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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 | 121959
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License Number State | TX
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