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General NPI Number Information
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NPI Number | 1154756401
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Entity Type | Organization
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Legal Business Name | CONDE HOMECARE SERVICES
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 487 S BOWIE ST
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City | SAN BENITO
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State | TX
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Zip | 78586-3711
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Country | US
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Telephone | 956-276-4317
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Fax | 210-579-2756
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Provider Business Mailing Address
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Address Line | 487 S BOWIE ST
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City | SAN BENITO
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State | TX
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Zip | 78586-3711
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Country | US
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Telephone | 956-276-4317
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Fax | 210-579-2756
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARY ANN ZUNIGA
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Credential |
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Telephone | 956-454-7600
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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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