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General NPI Number Information
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NPI Number | 1487928024
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Entity Type | Organization
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Legal Business Name | GOODWILL HEALTHCARE TEAM INC
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 1111 W NOLANA AVE STE N
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City | MCALLEN
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State | TX
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Zip | 78504-3747
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Country | US
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Telephone | 956-540-8695
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Fax | 956-540-8699
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Provider Business Mailing Address
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Address Line | 1111 W NOLANA AVE STE N
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City | MCALLEN
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State | TX
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Zip | 78504-3747
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Country | US
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Telephone | 956-540-8695
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Fax | 956-540-8699
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JOSE LUIS FLORES
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Credential |
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Telephone | 956-540-8695
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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