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General NPI Number Information
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NPI Number | 1417679887
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Entity Type | Organization
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Legal Business Name | ORACIONES PRIMARY HOME CARE LLC
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 1700 W BUS 83 STE B
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City | MISSION
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State | TX
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Zip | 78572-7239
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Country | US
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Telephone | 956-583-0130
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Fax | 956-598-7903
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Provider Business Mailing Address
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Address Line | 1700 W BUS 83 STE B
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City | MISSION
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State | TX
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Zip | 78572-7239
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Country | US
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Telephone | 956-583-0130
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Fax | 956-598-7903
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Authorized Official
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Title or Position | OWNER
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Name | JOSE C HERNANDEZ JR.
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Credential |
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Telephone | 956-583-0130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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