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NPI 1316129687

NPI 1316129687 : LAREDO HOME HEALTH, INC. : LAREDO, TX

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General NPI Number Information
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    NPI Number           |    1316129687
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAREDO HOME HEALTH, INC. 
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Dates
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    Enumeration Date     |    11/28/2007
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    Last Update Date     |    06/25/2008
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Provider Practice Location Address
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    Address Line         |    7511 R W EMERSON LOOP 
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    City                 |    LAREDO
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    State                |    TX
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    Zip                  |    78041-2000
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    Country              |    US
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    Telephone            |    956-791-6161
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    Fax                  |    956-728-0154
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Provider Business Mailing Address
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    Address Line         |    7511 R W EMERSON LOOP 3820 CEDAR
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    City                 |    LAREDO
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    State                |    TX
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    Zip                  |    78041-2000
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    Country              |    US
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    Telephone            |    956-791-6161
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    Fax                  |    956-728-0154
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    MR. ROEL  LUNA 
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    Credential           |    
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    Telephone            |    956-791-6161
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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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