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General NPI Number Information
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NPI Number | 1881140986
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Entity Type | Organization
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Legal Business Name | NAVICARE, LLC
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 807 HENDERSON AVE
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City | ORANGE
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State | TX
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Zip | 77630-6325
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Country | US
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Telephone | 409-209-7993
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Fax |
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Provider Business Mailing Address
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Address Line | 807 HENDERSON AVE
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City | ORANGE
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State | TX
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Zip | 77630-6325
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Country | US
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Telephone | 409-209-7993
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Fax |
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Authorized Official
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Title or Position | MANAGER/MEMBER
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Name | MR. FRANCISCO TAYS JR.
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Credential | OTR
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Telephone | 409-338-6195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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