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General NPI Number Information
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NPI Number | 1841529633
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Entity Type | Organization
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Legal Business Name | CARE PROFESSIONAL NURSING, INC.
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 12/27/2011
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Provider Practice Location Address
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Address Line | 6655 FIRST PARK TEN BLVD SUITE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78213-4308
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Country | US
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Telephone | 210-734-4040
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Fax | 210-734-4044
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Provider Business Mailing Address
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Address Line | PO BOX 100957
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City | SAN ANTONIO
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State | TX
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Zip | 78201-8957
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Country | US
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Telephone | 210-734-4040
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Fax | 210-734-4044
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VASU IYENGAR
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Credential |
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Telephone | 210-725-5003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion 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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 013353
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License Number State | TX
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