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General NPI Number Information
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NPI Number | 1891404752
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Entity Type | Organization
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Legal Business Name | FAITHFUL JOURNEY HOME CARE
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 09/15/2024
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Provider Practice Location Address
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Address Line | 601 N MARIENFELD ST STE 411
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City | MIDLAND
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State | TX
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Zip | 79701-4374
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Country | US
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Telephone | 432-216-4646
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7502
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City | MIDLAND
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State | TX
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Zip | 79708-7502
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Country | US
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Telephone | 432-216-4646
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULISA SAN MIGUEL
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Credential |
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Telephone | 432-216-4646
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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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