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General NPI Number Information
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NPI Number | 1578726394
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Entity Type | Organization
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Legal Business Name | ZADKIEL THE ANGEL HOME HEALTH LLC
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 3625 E 27TH STREET
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City | BROWNSVILLE
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State | TX
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Zip | 78521
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Country | US
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Telephone | 956-541-3775
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Fax | 956-542-3582
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Provider Business Mailing Address
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Address Line | 3625 E 27TH ST
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3875
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Country | US
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Telephone | 956-541-3775
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Fax | 956-542-3582
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Authorized Official
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Title or Position | OWNER
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Name | MARIA ESPARZA
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Credential |
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Telephone | 956-541-3775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 11253
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License Number State | TX
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