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General NPI Number Information
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NPI Number | 1063871119
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Entity Type | Organization
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Legal Business Name | L & A PRIMARY HOME CARE, LLC
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 03/01/2020
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Provider Practice Location Address
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Address Line | 1403 RUBY ST
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City | PENITAS
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State | TX
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Zip | 78576-8138
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Country | US
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Telephone | 956-400-5181
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Fax | 956-513-0745
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Provider Business Mailing Address
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Address Line | PO BOX 733
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City | PENITAS
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State | TX
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Zip | 78576-0733
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Country | US
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Telephone | 956-257-3855
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AURORA CASTILLO
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Credential |
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Telephone | 956-400-5181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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