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General NPI Number Information
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NPI Number | 1821061987
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Entity Type | Organization
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Legal Business Name | HOME CARE OF THE PERMIAN BASIN, INC.
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 501 ANDREWS HWY
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City | MIDLAND
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State | TX
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Zip | 79701-5818
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Country | US
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Telephone | 432-570-7587
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Fax | 432-682-9593
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Provider Business Mailing Address
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Address Line | 501 ANDREWS HWY
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City | MIDLAND
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State | TX
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Zip | 79701-5818
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Country | US
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Telephone | 432-570-7587
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Fax | 432-682-9593
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Authorized Official
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Title or Position | ADMINISTRATOR/ DIRECTOR OF NURSING
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Name | MRS. GUADALUPE R. HERRERA
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Credential | RN-BSN
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Telephone | 432-570-7587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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Taxonomy #2
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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 | TX
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