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General NPI Number Information
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NPI Number | 1114121043
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS PERSONAL CARE SERVICE INC.
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 1022 E GRIFFIN PKWY SUITE 106B
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City | MISSION
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State | TX
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Zip | 78572-2400
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Country | US
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Telephone | 956-584-7600
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Fax | 956-584-7604
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Provider Business Mailing Address
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Address Line | 1022 E GRIFFIN PKWY SUITE 106B
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City | MISSION
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State | TX
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Zip | 78572-2400
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Country | US
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Telephone | 956-584-7600
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Fax | 956-584-7604
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. RITA DIANNE MCDONALD
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Credential | RN
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Telephone | 956-584-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number | 009720
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License Number State | TX
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Taxonomy #2
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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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