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General NPI Number Information
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NPI Number | 1013005743
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Entity Type | Organization
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Legal Business Name | IMS HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 1302 E 8TH ST
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City | WESLACO
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State | TX
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Zip | 78596-6637
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Country | US
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Telephone | 956-464-9111
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Fax | 956-464-6611
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Provider Business Mailing Address
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Address Line | 1302 E 8TH ST
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City | WESLACO
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State | TX
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Zip | 78596-6637
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Country | US
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Telephone | 956-464-9111
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Fax | 956-464-6611
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LINDA ANN GARDNER
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Credential |
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Telephone | 956-464-9111
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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 | 678299
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License Number State | TX
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