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General NPI Number Information
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NPI Number | 1801175914
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Entity Type | Organization
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Legal Business Name | ARACELY B. ALCALA DBA CANDLE LIGHT HCS
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Dates
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Enumeration Date | 08/06/2011
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Last Update Date | 08/06/2011
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Provider Practice Location Address
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Address Line | 1910 WESTMINSTER RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3650
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Country | US
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Telephone | 956-521-7379
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 WESTMINSTER RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3650
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Country | US
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Telephone | 956-521-7379
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | ARACELY B. ALCALA
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Credential |
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Telephone | 956-521-7379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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