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General NPI Number Information
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NPI Number | 1790361459
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Entity Type | Organization
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Legal Business Name | YOUR HOME PHYSICIAN INC.
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 21120 CARTER RD
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City | SPLENDORA
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State | TX
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Zip | 77372-3003
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Country | US
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Telephone | 832-289-8365
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 551
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City | SPLENDORA
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State | TX
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Zip | 77372-0551
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Country | US
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Telephone | 832-289-8365
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NORMA MARIA RIVERA-OPIO
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Credential | MD
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Telephone | 832-289-8365
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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 |
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