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General NPI Number Information
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NPI Number | 1689110140
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Entity Type | Organization
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Legal Business Name | MMCARE LLC
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 404 E RAMSEY RD STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4665
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Country | US
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Telephone | 210-734-1300
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Fax | 210-734-1301
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Provider Business Mailing Address
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Address Line | 137 W FRENCH PL
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5804
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Country | US
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Telephone | 210-734-1300
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Fax | 210-734-1301
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Authorized Official
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Title or Position | MANAGER
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Name | JASON BOOTZ
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Credential |
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Telephone | 210-383-1045
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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 | 010035
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License Number State | TX
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