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General NPI Number Information
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NPI Number | 1194859777
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Entity Type | Organization
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Legal Business Name | SPECIALTY HOME HEALTH AGENCY, INC.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 4355 RITTIMAN RD
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City | SAN ANTONIO
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State | TX
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Zip | 78218-4362
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Country | US
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Telephone | 210-637-7853
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Fax | 210-637-7854
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Provider Business Mailing Address
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Address Line | 4355 RITTIMAN RD
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City | SAN ANTONIO
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State | TX
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Zip | 78218-4362
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Country | US
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Telephone | 210-637-7853
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Fax | 210-637-7854
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DESMA FAYE DANIELS
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Credential | RN
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Telephone | 210-637-7853
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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 | 002620
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License Number State | TX
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