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NPI 1073962544

NPI 1073962544 : BUG BUSTERS PEST CONTROL, LLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1073962544
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    Entity Type          |    Organization 
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    Legal Business Name  |    BUG BUSTERS PEST CONTROL, LLC 
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Dates
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    Enumeration Date     |    06/06/2016
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    Last Update Date     |    06/06/2016
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Provider Practice Location Address
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    Address Line         |    1815 W ASHBY PL 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78201-6149
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    Country              |    US
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    Telephone            |    210-607-4444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 12182 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78212-0182
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    Country              |    US
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    Telephone            |    210-607-4444
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/CERTIFIED APPLICATOR
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    Name                 |     NABOR ALEJANDRO  CALDERON 
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    Credential           |    
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    Telephone            |    210-607-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    0734194
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    License Number State |    TX
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