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General NPI Number Information
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NPI Number | 1730432659
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME CARE SERVICES WEST, INC.
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 1353 RD. 19
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-783-2245
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 507 1353 RD. 19
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-783-2245
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MRS. AIXA CARDONA
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Credential | MT
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Telephone | 787-783-2245
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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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