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General NPI Number Information
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NPI Number | 1699280016
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Entity Type | Organization
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Legal Business Name | DEL MAR PRIMARY HOME CARE, LLC.
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Dates
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Enumeration Date | 12/07/2017
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 802 N US HIGHWAY 83
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City | ZAPATA
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State | TX
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Zip | 78076-3701
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Country | US
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Telephone | 956-251-2367
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Fax | 956-765-8265
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Provider Business Mailing Address
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Address Line | PO BOX 1093
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City | ZAPATA
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State | TX
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Zip | 78076-1093
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Country | US
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Telephone | 956-750-3099
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Fax | 956-750-3199
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Authorized Official
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Title or Position | OWNER
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Name | GABRIELA GONZALEZ
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Credential |
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Telephone | 956-251-2367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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