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General NPI Number Information
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NPI Number | 1659657757
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Entity Type | Organization
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Legal Business Name | HOME HEALTH CARE SPECIALISTS, LLC
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 3355 CHERRY RIDGE ST STE 218
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City | SAN ANTONIO
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State | TX
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Zip | 78230-4840
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Country | US
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Telephone | 210-614-4466
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Fax | 210-614-4110
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Provider Business Mailing Address
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Address Line | 3355 CHERRY RIDGE ST STE 218
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City | SAN ANTONIO
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State | TX
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Zip | 78230-4840
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Country | US
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Telephone | 210-614-4466
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Fax | 210-614-4110
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Authorized Official
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Title or Position | CEO, SPEECH PATHOLOGIST
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Name | MRS. YADIRA MEDINA-TORRES
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Credential | MS, CCC SLP
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Telephone | 210-614-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 104233
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License Number State | TX
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