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General NPI Number Information
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NPI Number | 1669751897
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Entity Type | Organization
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Legal Business Name | ADAM PRIMARY HOME CARE SERVICES
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 700 S ZARZAMORA ST STE. 200
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City | SAN ANTONIO
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State | TX
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Zip | 78207-5255
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Country | US
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Telephone | 210-215-3159
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Fax | 888-805-2654
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Provider Business Mailing Address
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Address Line | 700 S ZARZAMORA ST STE. 200
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City | SAN ANTONIO
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State | TX
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Zip | 78207-5255
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RAQUEL HERRERA
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Credential |
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Telephone | 210-215-3159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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