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General NPI Number Information
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NPI Number | 1144040049
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Entity Type | Organization
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Legal Business Name | HERMANOS IN HOME HEALTH LLC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1102 DEL NORTE ST
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City | EL PASO
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State | TX
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Zip | 79915-1609
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Country | US
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Telephone | 915-600-7490
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Fax | 915-248-0425
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Provider Business Mailing Address
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Address Line | 1102 DEL NORTE ST
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City | EL PASO
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State | TX
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Zip | 79915-1609
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Country | US
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Telephone | 915-600-7490
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Fax | 915-248-0425
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Authorized Official
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Title or Position | OWNER
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Name | MANUEL ANTHONY ACOSTA III
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Credential |
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Telephone | 915-600-7490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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