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General NPI Number Information
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NPI Number | 1205094190
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Entity Type | Organization
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Legal Business Name | ALL SEASONS HOME CARE
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 305 CORPUS CHRISTI ST
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City | LAREDO
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State | TX
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Zip | 78040-8457
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Country | US
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Telephone | 956-727-2169
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 WASHINGTON ST
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City | LAREDO
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State | TX
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Zip | 78040-4464
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Country | US
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Telephone | 956-727-2169
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | JORGE MADRIGALES
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Credential |
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Telephone | 956-727-2169
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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 | 007611
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License Number State | TX
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