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General NPI Number Information
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NPI Number | 1700918026
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Entity Type | Organization
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Legal Business Name | ESPERANZA HOME HEALTH CARE HOSPICE, INC.
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 2183 STATE HWY. 518
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City | BUENA VISTA
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State | NM
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Zip | 87712
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Country | US
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Telephone | 575-387-2215
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Fax | 575-387-9047
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Provider Business Mailing Address
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Address Line | PO BOX 270
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City | MORA
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State | NM
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Zip | 87732-0270
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Country | US
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Telephone | 575-387-2215
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Fax | 575-387-9047
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JOSEPHINE P GARCIA
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Credential |
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Telephone | 575-387-2215
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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 | 6361
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License Number State | NM
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