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General NPI Number Information
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NPI Number | 1699780478
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Entity Type | Organization
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Legal Business Name | CARESTAT LLC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 13330 LEOPARD ST STE 21
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City | CORPUS CHRISTI
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State | TX
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Zip | 78410
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Country | US
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Telephone | 361-241-4600
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Fax | 361-241-4620
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Provider Business Mailing Address
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Address Line | 13330 LEOPARD ST STE 21
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City | CORPUS CHRISTI
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State | TX
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Zip | 78410-4481
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Country | US
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Telephone | 613-241-4600
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Fax | 361-241-4620
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | OSCAR E BARRERA
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Credential |
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Telephone | 361-242-3000
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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 | 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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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 003825
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License Number State | TX
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