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General NPI Number Information
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NPI Number | 1013167493
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Entity Type | Organization
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Legal Business Name | AMANECER PRIMARY HOME CARE, LLC
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 2017 E GRIFFIN PARKWAY
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City | MISSION
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State | TX
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Zip | 78574
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Country | US
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Telephone | 956-583-0303
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Fax | 956-583-0382
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Provider Business Mailing Address
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Address Line | 2017 E GRIFFIN PARKWAY
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City | MISSION
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State | TX
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Zip | 78574
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Country | US
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Telephone | 956-583-0303
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Fax | 956-583-0382
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YURIDIA ALVAREZ
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Credential |
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Telephone | 956-583-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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