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General NPI Number Information
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NPI Number | 1386973360
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Entity Type | Organization
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Legal Business Name | ANTHEM HEALTHCARE, INC.
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Dates
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Enumeration Date | 12/21/2009
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 1615 VETERANS BLVD
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City | EAGLE PASS
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State | TX
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Zip | 78852-6134
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Country | US
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Telephone | 830-776-7068
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Fax | 866-571-0395
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Provider Business Mailing Address
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Address Line | 1615 VETERANS BLVD
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City | EAGLE PASS
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State | TX
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Zip | 78852-6480
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Country | US
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Telephone | 830-776-7068
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Fax | 866-571-0395
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Authorized Official
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Title or Position | CEO
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Name | MR. RODOLFO ENRIQUE VILLALPANDO JR.
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Credential |
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Telephone | 830-776-7068
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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 | 013388
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License Number State | TX
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