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General NPI Number Information
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NPI Number | 1891125738
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Entity Type | Organization
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Legal Business Name | ANCHOR HABILITATION SERVICES, LLC
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 1401 S 2ND AVE
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City | EDINBURG
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State | TX
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Zip | 78539-5409
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Country | US
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Telephone | 956-720-4433
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Fax | 956-720-4446
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Provider Business Mailing Address
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Address Line | 18843 REDLAND RD
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City | SAN ANTONIO
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State | TX
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Zip | 78259-3571
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Country | US
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Telephone | 210-499-5588
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Fax | 210-499-5327
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MICHAEL W SMITH
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Credential |
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Telephone | 210-499-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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