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General NPI Number Information
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NPI Number | 1568732147
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Entity Type | Organization
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Legal Business Name | VINEYARD COTTAGE HOME CARE
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 550 EARL GARRETT ST SUITE 207B
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City | KERRVILLE
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State | TX
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Zip | 78028-4572
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Country | US
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Telephone | 830-266-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 550 EARL GARRETT ST SUITE 207B
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City | KERRVILLE
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State | TX
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Zip | 78028-4572
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Country | US
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Telephone | 830-266-5252
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA LEE KALATI
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Credential | R.N.
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Telephone | 830-792-9605
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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 | TX
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