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General NPI Number Information
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NPI Number | 1871104265
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Entity Type | Organization
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Legal Business Name | SANTOBELLO HOME CARE
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 350 PINE ST STE 765
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City | BEAUMONT
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State | TX
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Zip | 77701-2421
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Country | US
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Telephone | 409-276-7576
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Fax |
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Provider Business Mailing Address
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Address Line | 14714 GOLDEN HAWK TRL
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City | CYPRESS
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State | TX
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Zip | 77433-6621
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Country | US
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Telephone | 281-731-7729
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | MR. FRANK MARK MONTEBELLO JR.
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Credential |
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Telephone | 409-658-1127
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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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