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General NPI Number Information
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NPI Number | 1710857495
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Entity Type | Organization
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Legal Business Name | OUR SWEET OLIVE HOME
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 3430 HOPECREST ST
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City | SAN ANTONIO
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State | TX
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Zip | 78230-3906
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Country | US
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Telephone | 210-324-0680
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Fax | 210-632-6081
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Provider Business Mailing Address
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Address Line | 3430 HOPECREST ST
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City | SAN ANTONIO
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State | TX
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Zip | 78230-3906
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Country | US
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Telephone | 210-324-0680
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Fax | 210-632-6081
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOAQUIN MARTINEZ
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Credential |
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Telephone | 210-324-0680
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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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