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General NPI Number Information
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NPI Number | 1659655397
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Entity Type | Organization
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Legal Business Name | MISSION PERSONAL ASSISTANCE SERVICE, INC.
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 7705 PAWNEE CT
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City | EL PASO
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State | TX
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Zip | 79912-1116
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Country | US
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Telephone | 915-282-9613
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Fax | 915-832-0431
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Provider Business Mailing Address
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Address Line | 7705 PAWNEE CT
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City | EL PASO
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State | TX
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Zip | 79912-1116
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Country | US
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Telephone | 915-282-9613
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Fax | 915-832-0431
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JESUS HOMERO GUAJARDO
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Credential |
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Telephone | 915-282-9613
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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 | N/A
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License Number State |
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