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General NPI Number Information
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NPI Number | 1306360391
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Entity Type | Organization
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Legal Business Name | BENDICIONES HOME HEALTH CARE
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 08/01/2017
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Provider Practice Location Address
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Address Line | 5500 CLEO RD. SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87105
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Country | US
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Telephone | 505-604-0074
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 CLEO RD SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87121-6985
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COORDINATOR
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Name | BERNADETTA CRAWFORD
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Credential |
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Telephone | 505-604-0074
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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 | 5485851
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License Number State | NM
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