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General NPI Number Information
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NPI Number | 1386155034
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Entity Type | Organization
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Legal Business Name | RISE UP HOME HEALTHCARE
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Dates
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Enumeration Date | 10/21/2017
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Last Update Date | 10/21/2017
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Provider Practice Location Address
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Address Line | 10865 SHAENFIELD RD STE 1103
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City | SAN ANTONIO
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State | TX
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Zip | 78254-9617
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Country | US
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Telephone | 210-298-9979
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Fax | 210-688-7923
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Provider Business Mailing Address
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Address Line | PO BOX 29425
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City | SAN ANTONIO
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State | TX
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Zip | 78229-0425
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Country | US
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Telephone | 210-298-9979
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Fax | 210-688-7923
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Authorized Official
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Title or Position | OWNER/ ADMINISTRATOR
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Name | AIMAN ABDULBAKI
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Credential | PT
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Telephone | 210-298-9979
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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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