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General NPI Number Information
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NPI Number | 1033280243
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Entity Type | Organization
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Legal Business Name | TOTAL CARE AT HOME, INC.
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1706 N DAL PASO ST
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City | HOBBS
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State | NM
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Zip | 88240-3041
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Country | US
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Telephone | 505-393-7997
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Fax | 505-393-7988
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Provider Business Mailing Address
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Address Line | PO BOX 5206
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City | HOBBS
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State | NM
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Zip | 88241-5206
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Country | US
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Telephone | 505-393-7997
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Fax | 505-393-7988
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | JAN C. PFEIFFER
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Credential | R.N.
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Telephone | 505-393-7997
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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 | 6507
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License Number State | NM
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