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General NPI Number Information
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NPI Number | 1336281252
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Entity Type | Organization
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Legal Business Name | ALAMO HOMECARE INC.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4204 GARDENDALE ST STE 322
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3141
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Country | US
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Telephone | 210-682-5780
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Fax | 210-682-1794
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Provider Business Mailing Address
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Address Line | 4204 GARDENDALE ST STE 322
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3141
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Country | US
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Telephone | 210-682-5780
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Fax | 210-682-1794
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | ABRAHAM LOPEZ
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Credential |
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Telephone | 210-682-5780
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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 | 010789
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License Number State | TX
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