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General NPI Number Information
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NPI Number | 1588044788
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Entity Type | Organization
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Legal Business Name | OUR HEALING HEART HOMECARE, LLC
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 5003 COUNTY ROAD 110 UNIT C
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City | SAN DIEGO
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State | TX
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Zip | 78384-2432
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Country | US
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Telephone | 361-209-5035
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Fax | 361-209-5027
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Provider Business Mailing Address
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Address Line | 204 W SHAEFFER ST
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City | SAN DIEGO
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State | TX
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Zip | 78384-2432
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Country | US
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Telephone | 361-209-5035
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Fax | 361-209-5027
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Authorized Official
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Title or Position | RN/SUPERVISING NURSE
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Name | MRS. LIZA MARIE BARRERA
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Credential | RN
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Telephone | 361-209-5035
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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 |
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