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General NPI Number Information
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NPI Number | 1346354560
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Entity Type | Organization
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Legal Business Name | LANDO, INC.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16 S JOHNSON ST
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City | ALICE
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State | TX
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Zip | 78332-4532
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Country | US
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Telephone | 361-664-8118
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Fax | 361-668-1848
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Provider Business Mailing Address
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Address Line | 16 S JOHNSON ST
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City | ALICE
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State | TX
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Zip | 78332-4532
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Country | US
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Telephone | 361-664-8118
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Fax | 361-668-1848
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. RUBEN M. GARCIA
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Credential |
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Telephone | 361-664-8118
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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 | 003095
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License Number State | TX
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