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General NPI Number Information
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NPI Number | 1750935573
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Entity Type | Organization
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Legal Business Name | ASISTENCIA EN CASA THERAPY SERVICE, INC.
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 1225 GLYNDON DR.
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City | PLANO
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State | TX
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Zip | 75023
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Country | US
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Telephone | 214-208-5131
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Fax | 972-271-0100
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Provider Business Mailing Address
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Address Line | PO BOX 450878
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City | GARLAND
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State | TX
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Zip | 75045
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Country | US
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Telephone | 214-208-5131
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Fax | 972-271-0100
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Authorized Official
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Title or Position | OWNER - ADMINISTRATOR
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Name | HALIMA PATRICIA MORA
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Credential |
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Telephone | 214-208-5131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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