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NPI 1407033665

NPI 1407033665 : ALAMO COMPANION SERVICES LLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1407033665
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALAMO COMPANION SERVICES LLC 
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Dates
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    Enumeration Date     |    01/29/2008
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    Last Update Date     |    01/29/2008
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Provider Practice Location Address
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    Address Line         |    11218 WOODRIDGE PATH 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78249-3148
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    Country              |    US
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    Telephone            |    210-558-0356
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 690915 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78269-0915
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    Country              |    US
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    Telephone            |    210-558-0356
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JONATHAN JENSEN STEINER 
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    Credential           |    MPT
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    Telephone            |    210-558-0356
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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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