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General NPI Number Information
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NPI Number | 1386347987
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Entity Type | Organization
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Legal Business Name | FORTALEZA HOME CARE, LLC
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 1702 CARLA ST STE 4
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City | ZAPATA
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State | TX
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Zip | 78076-4123
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Country | US
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Telephone | 956-265-9025
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Fax | 956-334-4944
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Provider Business Mailing Address
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Address Line | 807 GUERRERO AVE
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City | ZAPATA
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State | TX
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Zip | 78076-3390
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Country | US
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Telephone | 956-265-9025
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Fax | 956-334-4944
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Authorized Official
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Title or Position | OWNER
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Name | ALEJANDRA A GARCIA
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Credential |
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Telephone | 956-265-9025
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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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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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