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General NPI Number Information
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NPI Number | 1598560963
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Entity Type | Organization
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Legal Business Name | PASO DEL NORTE HOME HEALTH
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 2603 MCNUTT RD
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City | SUNLAND PARK
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State | NM
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Zip | 88063-9019
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Country | US
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Telephone | 915-505-0828
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Fax |
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Provider Business Mailing Address
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Address Line | 2603 MCNUTT RD
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City | SUNLAND PARK
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State | NM
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Zip | 88063-9019
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Country | US
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Telephone | 915-505-0828
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HUMBERTO ALCAZAR III
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Credential |
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Telephone | 915-304-6790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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