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General NPI Number Information
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NPI Number | 1548657570
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Entity Type | Organization
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Legal Business Name | ALL 4 YOU HOME CARE CORP
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Dates
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Enumeration Date | 04/16/2015
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 10804 ROCKY MOUNTAIN DR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-3565
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Country | US
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Telephone | 505-492-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 10804 ROCKY MOUNTAIN DR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-3565
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Country | US
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Telephone | 505-492-4842
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SESAI CALDERON
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Credential |
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Telephone | 505-492-4842
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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 | FA0118416
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License Number State | NM
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