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General NPI Number Information
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NPI Number | 1447410105
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Entity Type | Organization
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Legal Business Name | AMIGOS DEL VALLE, INC
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 212 W 18TH ST
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City | MISSION
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State | TX
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Zip | 78572-2804
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Country | US
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Telephone | 956-213-9400
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Fax | 956-213-8119
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Provider Business Mailing Address
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Address Line | 4138 CROSSPOINT BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-1803
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Country | US
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Telephone | 956-213-9400
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Fax | 956-213-8119
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ALEJANDRO GUERRA
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Credential |
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Telephone | 956-213-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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