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General NPI Number Information
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NPI Number | 1043502610
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Entity Type | Organization
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Legal Business Name | MI FAMILIA PRIMARY HOME CARE LLC
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 05/13/2011
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Provider Practice Location Address
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Address Line | 1403 JAMES ST
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City | CEDAR HILL
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State | TX
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Zip | 75104-5023
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Country | US
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Telephone | 817-905-5704
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Fax | 817-412-9710
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Provider Business Mailing Address
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Address Line | 1403 JAMES ST
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City | CEDAR HILL
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State | TX
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Zip | 75104-5023
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Country | US
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Telephone | 817-905-5704
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Fax | 817-412-9710
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | ALICIA ZARAGOZA
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Credential |
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Telephone | 817-905-5704
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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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