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General NPI Number Information
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NPI Number | 1144685710
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Entity Type | Organization
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Legal Business Name | CANVI GROUP, LLC
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 208 WEST FERGUSON UNIT 4 SUITE 5
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City | PHARR
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State | TX
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Zip | 78577-2455
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Country | US
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Telephone | 956-223-4528
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Fax | 956-461-0065
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Provider Business Mailing Address
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Address Line | 208 WEST FERGUSON UNIT 4 SUITE 5
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City | PHARR
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State | TX
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Zip | 78577-2455
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Country | US
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Telephone | 956-223-4528
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Fax | 956-461-0065
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JULIO CANTU
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Credential |
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Telephone | 956-223-4528
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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 | TX
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