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General NPI Number Information
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NPI Number | 1992706162
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Entity Type | Organization
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Legal Business Name | MISSION VISTA BEHAVIORAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 14747 JONES MALTSBERGER RD
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City | SAN ANTONIO
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State | TX
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Zip | 78247-3713
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Country | US
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Telephone | 210-497-0004
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Fax | 210-572-1447
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Provider Business Mailing Address
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Address Line | 14747 JONES MALTSBERGER RD
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City | SAN ANTONIO
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State | TX
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Zip | 78247-3713
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Country | US
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Telephone | 210-497-0004
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Fax | 210-572-1447
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT ACCOUNTING
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Name | MRS. LISA WARNER
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Credential |
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Telephone | 210-679-2157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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