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General NPI Number Information
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NPI Number | 1720308265
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Entity Type | Organization
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Legal Business Name | SAN JOSE HEALTH SERVICES INC
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Dates
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Enumeration Date | 06/07/2010
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Last Update Date | 06/07/2010
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Provider Practice Location Address
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Address Line | 2213 E TRENTON RD
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City | EDINBURG
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State | TX
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Zip | 78542-6932
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Country | US
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Telephone | 195-620-7215
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Fax | 195-678-2648
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Provider Business Mailing Address
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Address Line | 2213 E TRENTON RD
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City | EDINBURG
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State | TX
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Zip | 78542-6932
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Country | US
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Telephone | 195-620-7215
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Fax | 195-678-2648
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANITA M FLORES
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Credential |
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Telephone | 19562072154
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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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