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General NPI Number Information
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NPI Number | 1811050420
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Entity Type | Organization
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Legal Business Name | COMMUNITY COUNCIL OF SOUTH CENTRAL TEXAS, INC.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 808 E PINE ST
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City | SEGUIN
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State | TX
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Zip | 78155-2841
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Country | US
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Telephone | 830-379-7818
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Fax | 830-372-2848
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Provider Business Mailing Address
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Address Line | 205 A. E. COURT STREET
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City | SEGUIN
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State | TX
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Zip | 78155-5705
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Country | US
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Telephone | 830-372-3690
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Fax | 830-372-5354
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. LUIS R. RAMIREZ SR.
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Credential |
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Telephone | 830-303-4376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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