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General NPI Number Information
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NPI Number | 1801080775
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Entity Type | Organization
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Legal Business Name | BUENOS DIAS ADULT DAY CARE, INC
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 2907 HEMINGWAY LOOP
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City | LAREDO
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State | TX
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Zip | 78041-1910
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Country | US
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Telephone | 956-725-4182
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Fax | 956-791-9010
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Provider Business Mailing Address
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Address Line | 611 S SMITH AVE
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City | HEBBRONVILLE
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State | TX
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Zip | 78631
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Country | US
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Telephone | 956-286-5960
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Fax | 956-791-9010
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ROSALINDA BENNETT
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Credential | LVN
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Telephone | 956-286-5960
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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 | 121157
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License Number State | TX
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