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General NPI Number Information
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NPI Number | 1558669846
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Entity Type | Organization
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Legal Business Name | LUBBOCK ESSENTIAL HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 835 TOWER DR STE 21
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City | ODESSA
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State | TX
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Zip | 79761-4251
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Country | US
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Telephone | 432-617-8122
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Fax | 432-617-8123
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Provider Business Mailing Address
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Address Line | 835 TOWER DR STE 21
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City | ODESSA
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State | TX
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Zip | 79761-4251
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Country | US
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Telephone | 432-617-8122
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Fax | 432-617-8123
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JOSIE ALVARADO
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Credential | RN, BSN
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Telephone | 806-747-4229
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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 | 004822
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License Number State | TX
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