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General NPI Number Information
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NPI Number | 1417261918
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Entity Type | Organization
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Legal Business Name | CONFIANZA, PRIMARY HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 1315 TONI LN
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City | MISSION
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State | TX
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Zip | 78572-3004
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Country | US
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Telephone | 956-580-0940
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Fax | 956-580-0949
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Provider Business Mailing Address
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Address Line | 1315 TONI LN
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City | MISSION
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State | TX
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Zip | 78572-3004
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Country | US
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Telephone | 956-580-0940
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SONIA G WALKER
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Credential | LVN
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Telephone | 956-580-0940
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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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