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General NPI Number Information
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NPI Number | 1427635788
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Entity Type | Organization
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Legal Business Name | TEL-MED PERSONAL SERVICES, LLC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 813 N MAIN ST STE 311
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City | MCALLEN
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State | TX
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Zip | 78501-0004
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Country | US
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Telephone | 956-432-2077
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Fax | 855-540-4111
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Provider Business Mailing Address
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Address Line | 813 N MAIN ST STE 311
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City | MCALLEN
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State | TX
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Zip | 78501-0004
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Country | US
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Telephone | 956-432-2077
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Fax | 855-540-4111
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. JOSE LARA JR.
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Credential |
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Telephone | 956-432-2077
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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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