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General NPI Number Information
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NPI Number | 1134611296
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Entity Type | Organization
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Legal Business Name | AMERICA HEALTH CARE CAPITAL, LLC
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 610 UPTOWN BLVD STE 270
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City | CEDAR HILL
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State | TX
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Zip | 75104-3528
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Country | US
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Telephone | 972-904-9926
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Fax | 800-866-0799
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Provider Business Mailing Address
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Address Line | 610 UPTOWN BLVD STE 200
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City | CEDAR HILL
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State | TX
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Zip | 75104-3528
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Country | US
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Telephone | 318-209-0204
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Fax | 318-300-4774
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOSHLAN S RAYMO
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Credential |
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Telephone | 318-209-0204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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