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General NPI Number Information
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NPI Number | 1528596095
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Entity Type | Organization
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Legal Business Name | AMEN PROVIDER SERVICES INC
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 2611 N TEXAS BLVD STE 8
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City | WESLACO
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State | TX
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Zip | 78599-4062
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Country | US
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Telephone | 956-854-4429
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Fax | 956-854-4432
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Provider Business Mailing Address
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Address Line | 2611 N TEXAS BLVD STE 8
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City | WESLACO
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State | TX
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Zip | 78599-4062
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Country | US
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Telephone | 956-854-4429
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Fax | 956-854-4432
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RAMONA C SUAREZ
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Credential |
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Telephone | 956-854-4429
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 018296
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License Number State | TX
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