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General NPI Number Information
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NPI Number | 1588600589
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Entity Type | Organization
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Legal Business Name | H V PRIMARY HOME CARE, INC.
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 1601 E GRIFFIN PKWY STE C
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City | MISSION
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State | TX
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Zip | 78572-3360
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Country | US
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Telephone | 956-519-4805
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Fax | 956-519-1704
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Provider Business Mailing Address
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Address Line | 1601 E GRIFFIN PKWY STE C
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City | MISSION
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State | TX
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Zip | 78572-3360
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Country | US
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Telephone | 956-519-4805
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Fax | 956-519-1704
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NANCY CORDOVA
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Credential |
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Telephone | 956-519-4805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 007568
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License Number State | TX
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