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General NPI Number Information
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NPI Number | 1235681115
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Entity Type | Organization
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Legal Business Name | CAREGIVERS IN YOUR HOME, LLC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 2014 SAN JUAN BLVD STE F
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City | FARMINGTON
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State | NM
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Zip | 87401-2240
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Country | US
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Telephone | 505-327-4838
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Fax | 505-325-2334
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Provider Business Mailing Address
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Address Line | 2014 SAN JUAN BLVD STE H
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City | FARMINGTON
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State | NM
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Zip | 87401-2240
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Country | US
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Telephone | 505-327-4838
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Fax | 505-325-2334
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVEN J. GABALDON
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Credential |
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Telephone | 505-327-4838
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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 | 03-358075-008
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License Number State | NM
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