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General NPI Number Information
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NPI Number | 1124491014
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Entity Type | Organization
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Legal Business Name | CMV HOME HEALTH, LLC
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Dates
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Enumeration Date | 11/02/2015
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 6113 TORIBIO DR
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City | LAREDO
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State | TX
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Zip | 78043-5116
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Country | US
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Telephone | 956-568-3120
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Fax | 956-568-3876
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Provider Business Mailing Address
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Address Line | 6113 TORIBIO DR
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City | LAREDO
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State | TX
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Zip | 78043-5116
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Country | US
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Telephone | 956-568-3120
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Fax | 956-568-3876
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | MR. JUAN ESPARZA
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Credential | RN
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Telephone | 956-568-3120
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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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