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General NPI Number Information
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NPI Number | 1932301124
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Entity Type | Organization
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Legal Business Name | SYLVIA JUNIETTE SALAZAR
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 691 PROGRESO
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City | EAGLE PASS
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State | TX
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Zip | 78852-6566
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Country | US
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Telephone | 830-773-8882
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Fax | 830-773-8809
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Provider Business Mailing Address
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Address Line | 1362 EL INDIO HWY
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City | EAGLE PASS
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State | TX
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Zip | 78852-5211
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Country | US
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Telephone | 830-773-8882
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Fax | 830-773-8809
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Authorized Official
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Title or Position | CEO
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Name | MISS SYLVIA JUNIETTE SALAZAR
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Credential |
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Telephone | 830-773-8882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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