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General NPI Number Information
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NPI Number | 1841409299
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Entity Type | Organization
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Legal Business Name | RAINBOW SENIOR CENTER FOUNDATION INC.
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 17 OLD SAN ANTONIO RD
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City | BOERNE
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State | TX
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Zip | 78006-3414
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Country | US
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Telephone | 830-249-2114
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Fax |
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Provider Business Mailing Address
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Address Line | 17 OLD SAN ANTONIO RD
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City | BOERNE
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State | TX
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Zip | 78006-3414
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Country | US
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Telephone | 830-249-2114
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | OLIVIA S BURDICK
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Credential |
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Telephone | 830-249-2114
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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 | 001001192
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License Number State | TX
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