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General NPI Number Information
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NPI Number | 1518623180
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Entity Type | Organization
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Legal Business Name | RGV KIDZ HOME SERVICE LLC
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 7001 N 10TH ST STE 302C
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City | MCALLEN
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State | TX
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Zip | 78504-3347
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Country | US
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Telephone | 956-510-6295
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Fax |
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Provider Business Mailing Address
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Address Line | 4903 JUNE DR
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City | EDINBURG
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State | TX
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Zip | 78539-0046
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JO ANN CARMONA ALVAREZ
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Credential | RN
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Telephone | 956-358-3907
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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 |
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License Number State |
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