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General NPI Number Information
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NPI Number | 1376041731
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Entity Type | Organization
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Legal Business Name | NAVAEH HOME HEALTH CARE,LLC
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 1647 MAHANEY DR TRLR 13
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City | LAS CRUCES
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State | NM
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Zip | 88005-4130
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Country | US
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Telephone | 702-854-0337
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Fax |
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Provider Business Mailing Address
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Address Line | 1647 MAHANEY DR TRLR 13
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City | LAS CRUCES
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State | NM
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Zip | 88005-4130
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Country | US
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Telephone | 702-854-0337
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHRISTINA MARIA MARTINEZ
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Credential |
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Telephone | 575-386-3781
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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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