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General NPI Number Information
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NPI Number | 1073741716
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Entity Type | Organization
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Legal Business Name | LITTLE ENGINE HOME HEALTH, INC.
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 4203 GARDENDALE ST STE 104C
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3136
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Country | US
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Telephone | 210-362-0137
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Fax |
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Provider Business Mailing Address
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Address Line | 16723 BURNING GLADE
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City | SAN ANTONIO
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State | TX
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Zip | 78247-2039
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD LOCKE
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Credential |
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Telephone | 210-362-0737
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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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