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General NPI Number Information
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NPI Number | 1306988696
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Entity Type | Organization
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Legal Business Name | FIVE STAR QUALITY HOME HEALTH INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 3516 E. EXPRESSWAY 83 STE. 106
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City | WESLACO
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State | TX
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Zip | 78596
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Country | US
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Telephone | 956-447-1744
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Fax | 956-447-1749
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Provider Business Mailing Address
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Address Line | 3516 E. EXPRESSWAY 83 STE. 106
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City | WESLACO
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State | TX
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Zip | 78596
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Country | US
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Telephone | 956-447-1744
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Fax | 956-447-1749
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Authorized Official
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Title or Position | ADMIN
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Name | MR. JUAN JOSE RIVERA
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Credential |
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Telephone | 956-447-1744
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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 |
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License Number State |
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