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General NPI Number Information
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NPI Number | 1124075189
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Entity Type | Organization
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Legal Business Name | CARECO GROUP INC.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 990 IH 10 N SUITE 203
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City | BEAUMONT
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State | TX
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Zip | 77702-1051
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Country | US
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Telephone | 409-899-3535
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Fax | 409-899-3537
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Provider Business Mailing Address
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Address Line | 990 IH-10 NORTH SUITE 203
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City | BEAUMONT
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State | TX
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Zip | 77702
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Country | US
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Telephone | 409-899-3535
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Fax | 409-899-3537
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SANDRA JOYCE MCMAHON
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Credential |
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Telephone | 409-899-3535
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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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