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General NPI Number Information
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NPI Number | 1417754185
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Entity Type | Organization
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Legal Business Name | TRUSTED PRIMARY HOME CARE LLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1320 E LYON ST
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City | LAREDO
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State | TX
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Zip | 78040-2713
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Country | US
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Telephone | 210-310-9984
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 E LYON ST
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City | LAREDO
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State | TX
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Zip | 78040-2713
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Country | US
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Telephone | 210-310-9984
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | OSCAR ALEJANDRO TREVINO
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Credential |
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Telephone | 210-310-9984
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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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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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