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NPI 1881842474

NPI 1881842474 : A & AMAZING HOME CARE LLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1881842474
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    Entity Type          |    Organization 
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    Legal Business Name  |    A & AMAZING HOME CARE LLC 
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Dates
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    Enumeration Date     |    09/08/2008
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    Last Update Date     |    01/12/2022
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Provider Practice Location Address
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    Address Line         |    4112 SAN PEDRO AVE 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78212-1834
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    Country              |    US
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    Telephone            |    210-979-6022
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    Fax                  |    210-979-6025
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Provider Business Mailing Address
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    Address Line         |    4112 SAN PEDRO AVE 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78212-1834
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    Country              |    US
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    Telephone            |    210-979-6022
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    Fax                  |    210-979-6025
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Authorized Official
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    Title or Position    |    OWNER/ADMINISTRATOR
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    Name                 |    MRS. IRMA  VINTON 
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    Credential           |    
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    Telephone            |    210-979-6022
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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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