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General NPI Number Information
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NPI Number | 1841882685
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Entity Type | Organization
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Legal Business Name | H. E. AMARILLO, LLC
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 6701 ABERDEEN AVE STE 6
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City | LUBBOCK
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State | TX
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Zip | 79424-1501
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Country | US
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Telephone | 806-745-9996
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 MEDI PARK DR STE 1060
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City | AMARILLO
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State | TX
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Zip | 79106-2108
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Country | US
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Telephone | 806-745-9996
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Fax | 806-745-9998
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LISA A VELASQUEZ
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Credential | RN
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Telephone | 806-745-9996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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