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General NPI Number Information
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NPI Number | 1801191259
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS PROVIDER HOME CARE , INC.
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Dates
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Enumeration Date | 01/17/2011
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Last Update Date | 01/17/2011
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Provider Practice Location Address
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Address Line | 303 N FIR AVE
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City | BISHOP
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State | TX
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Zip | 78343-2200
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Country | US
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Telephone | 361-522-8496
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Fax | 361-221-9510
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Provider Business Mailing Address
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Address Line | 303 N FIR AVE
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City | BISHOP
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State | TX
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Zip | 78343-2200
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Country | US
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Telephone | 361-522-8496
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Fax | 361-221-9510
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Authorized Official
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Title or Position | CEO
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Name | GILBERTO ESQUIVEL
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Credential |
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Telephone | 361-522-8496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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