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General NPI Number Information
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NPI Number | 1821302092
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Entity Type | Organization
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Legal Business Name | BRENDA AND CARYL HOME
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 13665 TOEPPERWEIN
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City | SAN ANTONIO
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State | TX
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Zip | 78233
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Country | US
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Telephone | 210-835-8822
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Fax |
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Provider Business Mailing Address
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Address Line | 13655 TOEPPERWEIN
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City | SAN ANTONIO
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State | TX
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Zip | 78233
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Country | US
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Telephone | 210-835-8822
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT/ OWNER
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Name | MRS. BRENDA CAMARILLO
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Credential |
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Telephone | 210-835-8822
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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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