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General NPI Number Information
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NPI Number | 1649200353
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Entity Type | Organization
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Legal Business Name | DOS FRONTERAS, LLC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2483 2ND ST STE D
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City | EAGLE PASS
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State | TX
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Zip | 78852-4391
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Country | US
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Telephone | 830-773-4009
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Fax | 830-773-4078
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Provider Business Mailing Address
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Address Line | 2483 2ND ST STE D
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City | EAGLE PASS
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State | TX
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Zip | 78852-4391
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Country | US
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Telephone | 830-773-4009
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Fax | 830-773-4078
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOSE HERNANDEZ
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Credential |
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Telephone | 830-773-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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