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General NPI Number Information
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NPI Number | 1689290835
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Entity Type | Organization
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Legal Business Name | ARDENT NURSING AND HOMECARE OF TEXAS PLLC
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 4040 BROADWAY ST STE 240
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City | SAN ANTONIO
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State | TX
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Zip | 78209-6300
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Country | US
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Telephone | 210-721-5048
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Fax | 210-721-5047
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Provider Business Mailing Address
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Address Line | 5804 BABCOCK RD # 369
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2134
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Country | US
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Telephone | 210-325-5240
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | RENA LEWIS
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Credential | REGISTERED NURSE
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Telephone | 210-601-3443
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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 |
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License Number State |
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