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General NPI Number Information
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NPI Number | 1649348640
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Entity Type | Organization
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Legal Business Name | PAUL'S FARM INC.
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 318 WATERFRONT DR STE A
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City | SEABROOK
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State | TX
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Zip | 77586-3923
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Country | US
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Telephone | 281-474-2277
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Fax | 281-474-2287
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Provider Business Mailing Address
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Address Line | PO BOX 1064
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City | SEABROOK
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State | TX
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Zip | 77586-1064
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Country | US
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Telephone | 281-474-2277
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Fax | 281-474-2287
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. TERESITA T. BARTOLOME
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Credential | DN
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Telephone | 281-474-2277
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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 | 1003828
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 679333
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License Number State | TX
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