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General NPI Number Information
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NPI Number | 1396754297
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Entity Type | Organization
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Legal Business Name | ST. PETERS HOME HEALTH, INC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 1481 S FLOURNOY RD SUITE 120
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City | ALICE
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State | TX
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Zip | 78332-4274
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Country | US
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Telephone | 361-664-7001
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Fax | 361-664-7727
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Provider Business Mailing Address
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Address Line | 1481 S FLOURNOY RD SUITE 120
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City | ALICE
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State | TX
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Zip | 78332-4274
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Country | US
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Telephone | 361-664-7001
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Fax | 361-664-7727
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANNA LISA GUERRA-PENA
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Credential |
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Telephone | 361-664-7001
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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 | 008876
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License Number State | TX
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