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General NPI Number Information
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NPI Number | 1982915021
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Entity Type | Organization
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Legal Business Name | MARIPOSAS HERMOSAS DEL VALLE
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 1505 E 28TH ST
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City | MISSION
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State | TX
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Zip | 78574-4037
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Country | US
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Telephone | 956-240-5016
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 E 28TH ST
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City | MISSION
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State | TX
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Zip | 78574-4037
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Country | US
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Telephone | 956-240-5016
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NORMA MORALES
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Credential | R.N.
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Telephone | 956-240-5016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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