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General NPI Number Information
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NPI Number | 1245353150
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Entity Type | Organization
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Legal Business Name | EVERLASTING HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 45 NE LOOP 410 #115
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City | SAN ANTONIO
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State | TX
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Zip | 78216
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Country | US
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Telephone | 210-348-6860
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Fax | 210-348-6857
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Provider Business Mailing Address
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Address Line | 45 NE LOOP 410 #115
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City | SAN ANTONIO
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State | TX
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Zip | 78216
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Country | US
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Telephone | 210-348-6860
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Fax | 210-348-6857
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. RUBY J. ROBINSON
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Credential |
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Telephone | 210-355-4067
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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 | 008534
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License Number State | TX
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