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General NPI Number Information
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NPI Number | 1720445745
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Entity Type | Organization
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Legal Business Name | ABUNDANT HABILITATION SERVICES LLC
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 5211 88TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-3513
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Country | US
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Telephone | 806-368-3857
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Fax | 806-368-3857
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Provider Business Mailing Address
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Address Line | 5211 88TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-3513
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Country | US
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Telephone | 806-368-3857
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Fax | 806-368-3857
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ESTER LYNN PEREZ
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Credential |
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Telephone | 806-893-1096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | TX
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