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General NPI Number Information
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NPI Number | 1578486346
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Entity Type | Organization
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Legal Business Name | PRIME MODIFICATIONS LLC
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 08/01/2026
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Provider Practice Location Address
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Address Line | 7401 ROBERT MICHAELS ST
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City | MISSION
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State | TX
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Zip | 78574-3578
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Country | US
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Telephone | 956-257-3204
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Fax | 956-994-1148
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Provider Business Mailing Address
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Address Line | 7401 ROBERT MICHAELS ST
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City | MISSION
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State | TX
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Zip | 78574-3578
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Country | US
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Telephone | 956-257-3204
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Fax | 956-994-1148
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Authorized Official
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Title or Position | MANAGER
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Name | THOMAS HERNANDEZ JR.
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Credential |
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Telephone | 956-257-3204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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