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General NPI Number Information
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NPI Number | 1891145447
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Entity Type | Organization
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Legal Business Name | ABC PRIMARY HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 214 N 16TH ST STE 306
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City | MCALLEN
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State | TX
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Zip | 78501-8463
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Country | US
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Telephone | 956-627-0282
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Fax | 956-627-0358
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Provider Business Mailing Address
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Address Line | 214 N 16TH ST STE 306
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City | MCALLEN
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State | TX
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Zip | 78501-8463
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Country | US
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Telephone | 956-627-0282
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Fax | 956-627-0358
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NORMA ESCALANTE
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Credential |
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Telephone | 956-627-0282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 017223
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 017223
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License Number State | TX
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