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General NPI Number Information
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NPI Number | 1437664307
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Entity Type | Organization
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Legal Business Name | LA PALMA PROVIDER SERVICES, LLC.
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 1215 S EXPRESSWAY 281
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City | EDINBURG
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State | TX
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Zip | 78542-7220
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Country | US
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Telephone | 956-287-0333
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Fax | 956-287-1986
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Provider Business Mailing Address
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Address Line | 1215 S EXPRESSWAY 281
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City | EDINBURG
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State | TX
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Zip | 78542-7220
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Country | US
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Telephone | 956-287-0333
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Fax | 956-287-1986
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ELIAZAR RODRIGUEZ
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Credential |
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Telephone | 956-287-0333
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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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