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General NPI Number Information
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NPI Number | 1306381181
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Entity Type | Organization
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Legal Business Name | PASSIONATE HEALING HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 9010 GALLOP CHASE
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City | SAN ANTONIO
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State | TX
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Zip | 78254-5728
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Country | US
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Telephone | 210-204-4751
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Fax |
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Provider Business Mailing Address
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Address Line | 9010 GALLOP CHASE
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City | SAN ANTONIO
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State | TX
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Zip | 78254-5728
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Country | US
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Telephone | 210-455-9649
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Fax | 210-455-9650
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | RHONDA E SCARLETT
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Credential | RN
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Telephone | 210-455-9649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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