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General NPI Number Information
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NPI Number | 1528244530
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Entity Type | Organization
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Legal Business Name | PACIFICA HOME CARE SERVICES INC
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Dates
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Enumeration Date | 01/21/2008
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 511 HUGHES AVE
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City | ALICE
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State | TX
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Zip | 78332-6527
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Country | US
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Telephone | 361-701-4726
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Fax | 361-664-7601
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Provider Business Mailing Address
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Address Line | PO BOX 62
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City | ALICE
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State | TX
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Zip | 78333-0062
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Country | US
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Telephone | 361-701-4726
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Fax | 361-664-7601
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | LYDIA LOPEZ
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Credential | R.N.
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Telephone | 361-701-4726
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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 | 731157
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License Number State | TX
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