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General NPI Number Information
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NPI Number | 1487171385
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Entity Type | Organization
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Legal Business Name | PASCO HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7333 BARLITE BLVD STE 500
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1320
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Country | US
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Telephone | 210-923-0055
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Fax | 210-923-0027
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Provider Business Mailing Address
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Address Line | 7333 BARLITE BLVD STE 500
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1320
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Country | US
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Telephone | 210-923-0055
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Fax | 210-923-0027
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICHELLE F LUBIANSKI
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Credential |
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Telephone | 210-923-0055
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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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