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General NPI Number Information
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NPI Number | 1518484351
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Entity Type | Organization
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Legal Business Name | ST. TERESA OF CALCUTTA HOME HEALTH, 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 | 12609 DESSAU RD. LOT 313
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City | AUSTIN
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State | TX
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Zip | 78754
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Country | US
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Telephone | 512-924-0862
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Fax |
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Provider Business Mailing Address
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Address Line | 12609 DESSAU RD LOT 313
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City | AUSTIN
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State | TX
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Zip | 78754-1822
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Country | US
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Telephone | 512-924-0862
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MISS SINTIA KARINA URBINA PUERTO
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Credential | CNA
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Telephone | 512-924-0862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 |
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