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General NPI Number Information
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NPI Number | 1376888529
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Entity Type | Organization
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Legal Business Name | MONTEBELLO HOME CARE INC.
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 350 PINE STREET SUITE 765
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City | BEAUMONT
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State | TX
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Zip | 77701
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Country | US
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Telephone | 409-276-7576
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Fax | 409-276-4900
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Provider Business Mailing Address
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Address Line | 350 PINE STREET SUITE 765
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City | BEAUMONT
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State | TX
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Zip | 77701
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Country | US
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Telephone | 409-276-7576
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Fax | 409-276-4900
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. FRANK MARK MONTEBELLO JR.
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Credential |
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Telephone | 409-276-7576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 015543
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License Number State | TX
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