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General NPI Number Information
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NPI Number | 1386390771
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Entity Type | Organization
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Legal Business Name | BALLESTEROS HELPING FAMILIES
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 2635 E MCKENZIE AVE
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City | FRESNO
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State | CA
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Zip | 93701-2433
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Country | US
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Telephone | 559-216-4576
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Fax |
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Provider Business Mailing Address
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Address Line | ONLINE EVV PHASE 11 ONLINE
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City | ARIZONA
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State | CA
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Zip | 09433
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Country | US
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Telephone | 559-216-4576
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Fax |
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Authorized Official
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Title or Position | EVV IHSS
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Name | CATHLEEN V BALLESTEROS
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Credential | HHA
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Telephone | 559-216-4576
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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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