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General NPI Number Information
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NPI Number | 1891284865
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Entity Type | Organization
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Legal Business Name | SAINT MICHAEL'S PRIMARY HEALTH CARE,LLC.
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Dates
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Enumeration Date | 05/05/2018
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 1500 W BUSINESS HIGHWAY 83 STE 102
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City | MISSION
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State | TX
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Zip | 78572-3427
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Country | US
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Telephone | 956-997-0700
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Fax | 956-997-0699
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Provider Business Mailing Address
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Address Line | 904 DONNA RD
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City | PALMVIEW
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State | TX
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Zip | 78572-7941
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Country | US
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Telephone | 956-997-0700
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Fax | 956-997-0699
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Authorized Official
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Title or Position | ADMIN
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Name | SANJUANITA E CHAPA
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Credential |
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Telephone | 956-997-0700
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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 |
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License Number State |
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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 |
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License Number State |
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