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General NPI Number Information
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NPI Number | 1720333669
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Entity Type | Organization
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Legal Business Name | A DREAM COME TRUE HOME CARE
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 1709 S 77 SUNSHINESTRIP SUITE B
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City | HARLINGEN
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State | TX
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Zip | 78550-8121
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Country | US
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Telephone | 956-752-3716
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Fax | 956-421-5970
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Provider Business Mailing Address
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Address Line | 1709 S 77 SUNSHINESTRIP SUITE B
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City | HARLINGEN
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State | TX
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Zip | 78550-8121
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Country | US
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Telephone | 956-752-3716
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Fax | 956-421-5970
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Authorized Official
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Title or Position | OWNER
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Name | HANNAH GUILLEN
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Credential |
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Telephone | 956-752-3716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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