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General NPI Number Information
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NPI Number | 1528091675
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Entity Type | Organization
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Legal Business Name | ST. JUDE HEALTHCARE, LTD
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 12/03/2014
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Provider Practice Location Address
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Address Line | 817 CHICAGO AVE
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City | MCALLEN
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State | TX
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Zip | 78501-5055
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Country | US
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Telephone | 956-683-0017
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Fax | 956-630-2573
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Provider Business Mailing Address
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Address Line | 817 CHICAGO AVE
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City | MCALLEN
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State | TX
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Zip | 78501-2771
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Country | US
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Telephone | 956-683-0017
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Fax | 956-630-2573
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Authorized Official
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Title or Position | DON/ALT. ADMINISTRATOR
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Name | MRS. MARIA C ALAMIA
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Credential | OWNER
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Telephone | 956-683-0017
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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 | 009466
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License Number State | TX
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