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General NPI Number Information
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NPI Number | 1841343357
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Entity Type | Organization
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Legal Business Name | NUECES COUNTY COMMUNITY SERVICES
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4540 FM 892
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City | ROBSTOWN
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State | TX
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Zip | 78380-4438
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Country | US
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Telephone | 361-387-5445
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Fax | 361-387-7479
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Provider Business Mailing Address
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Address Line | 4540 FM 892
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City | ROBSTOWN
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State | TX
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Zip | 78380-4438
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Country | US
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Telephone | 361-387-5445
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Fax | 361-387-7479
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. EDWARD HERRERA
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Credential |
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Telephone | 361-387-5445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | TX
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