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General NPI Number Information
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NPI Number | 1194306167
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Entity Type | Organization
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Legal Business Name | COME WITH ME PRIMARY HOME CARE LLC
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 217 ENCINO LANE
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City | ELSA
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State | TX
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Zip | 78543
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Country | US
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Telephone | 956-750-0390
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1627
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City | ELSA
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State | TX
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Zip | 78543-1627
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Country | US
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Telephone | 195-675-0039
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ALEJANDRO M ELIZONDO
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Credential | OWNER
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Telephone | 956-750-0390
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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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