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General NPI Number Information
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NPI Number | 1598917445
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Entity Type | Organization
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Legal Business Name | BEYOND CARE HOME HEALTH LLC
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 2801 E MONTGOMERY ST STE 206
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City | LAREDO
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State | TX
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Zip | 78043-1402
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Country | US
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Telephone | 956-712-3667
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Fax | 956-722-3368
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Provider Business Mailing Address
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Address Line | 2801 E MONTGOMERY ST STE 206
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City | LAREDO
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State | TX
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Zip | 78043-1402
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Country | US
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Telephone | 956-712-3667
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Fax | 956-722-3368
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Authorized Official
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Title or Position | ADMINISTRATOR/CO-OWNER
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Name | REYES GERARDO SOTO
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Credential | R.N.
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Telephone | 956-712-3667
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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 | 012462
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License Number State | TX
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