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General NPI Number Information
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NPI Number | 1477763605
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Entity Type | Organization
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Legal Business Name | MILAGROS II HOME CARE, INC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 1008 N BORDER AVE
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City | WESLACO
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State | TX
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Zip | 78596-4322
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Country | US
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Telephone | 956-969-8076
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Fax | 956-973-0302
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Provider Business Mailing Address
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Address Line | 1008 N BORDER AVE
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City | WESLACO
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State | TX
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Zip | 78596-4322
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Country | US
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Telephone | 956-969-8076
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Fax | 956-973-0302
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Authorized Official
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Title or Position | ADMINISTRATOR DON
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Name | CARMEN CUELLAR
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Credential | RN
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Telephone | 956-969-8076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 453167
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License Number State | TX
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