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General NPI Number Information
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NPI Number | 1306097274
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Entity Type | Organization
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Legal Business Name | ANGELES GUARDIANES HOME HEALTH, INC.
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 55 W ELIZABETH ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-5545
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Country | US
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Telephone | 956-574-9423
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Fax | 956-574-0155
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Provider Business Mailing Address
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Address Line | 55 W ELIZABETH ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-5545
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Country | US
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Telephone | 956-574-9423
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MARIO RENE CAMPOS
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Credential |
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Telephone | 956-574-9423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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