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General NPI Number Information
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NPI Number | 1073641379
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Entity Type | Organization
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Legal Business Name | BALLI HOME HEALTH INC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 3825 N 10TH ST STE C
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City | MCALLEN
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State | TX
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Zip | 78501-1780
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Country | US
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Telephone | 956-322-5313
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Fax | 956-322-5179
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Provider Business Mailing Address
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Address Line | 3825 N 10TH ST STE C
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City | MCALLEN
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State | TX
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Zip | 78501-1780
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Country | US
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Telephone | 956-322-5313
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Fax | 956-322-5179
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Authorized Official
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Title or Position | CCO
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Name | RUBEN G MONTEZ
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Credential |
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Telephone | 956-536-1303
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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 | 677991
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License Number State | TX
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