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General NPI Number Information
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NPI Number | 1962796557
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Entity Type | Organization
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Legal Business Name | SOLEIL LUNA INVESTMENTS LLC
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 1019 W US HIGHWAY 83 STE P
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City | ALAMO
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State | TX
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Zip | 78516-2530
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Country | US
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Telephone | 956-787-8255
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Fax | 956-782-9977
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Provider Business Mailing Address
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Address Line | 1019 W US HIGHWAY 83 STE P
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City | ALAMO
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State | TX
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Zip | 78516-2530
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Country | US
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Telephone | 956-787-8255
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Fax | 956-782-9977
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MRS. SARAH REBECCAH MONCIVAIS
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Credential | MS, CCC-SLP
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Telephone | 956-787-8255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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