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General NPI Number Information
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NPI Number | 1306083670
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Entity Type | Organization
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Legal Business Name | BIEN ESTAR HOME CARE INC
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 135 PASEO DEL PRADO AVE STE 50
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City | EDINBURG
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State | TX
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Zip | 78539-9640
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Country | US
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Telephone | 956-631-1964
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Fax | 956-668-9882
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Provider Business Mailing Address
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Address Line | 135 PASEO DEL PRADO AVE STE 50
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City | EDINBURG
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State | TX
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Zip | 78539-9640
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Country | US
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Telephone | 956-631-1964
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Fax | 956-668-9882
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JAY PENA
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Credential |
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Telephone | 956-631-1964
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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 | 012539
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License Number State | TX
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