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General NPI Number Information
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NPI Number | 1003139296
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Entity Type | Organization
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Legal Business Name | AARONS LOVING ARMS PROVIDER SERVICE
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 4035 NACO PERRIN BLVD STE 200D
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City | SAN ANTONIO
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State | TX
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Zip | 78217-2530
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Country | US
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Telephone | 210-957-3065
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Fax | 210-599-9714
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Provider Business Mailing Address
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Address Line | 4035 NACO PERRIN BLVD STE 200D
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City | SAN ANTONIO
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State | TX
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Zip | 78217-2530
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Country | US
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Telephone | 210-957-3065
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Fax | 210-599-9714
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Authorized Official
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Title or Position | EXCUTIVE ADMINISTRATOR
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Name | MR. CHANELL T DANIELS
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Credential |
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Telephone | 210-724-8235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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