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General NPI Number Information
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NPI Number | 1952597734
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Entity Type | Organization
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Legal Business Name | LAREDO WEBB COUNTY MEALS ON WHEELS
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 500 E MANN RD
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City | LAREDO
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State | TX
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Zip | 78041-2630
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Country | US
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Telephone | 956-722-4664
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2578
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City | LAREDO
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State | TX
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Zip | 78044-2578
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Country | US
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Telephone |
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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 | MR. MIKE KAZEN
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Credential |
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Telephone | 956-523-4182
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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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