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General NPI Number Information
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NPI Number | 1902823644
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Entity Type | Organization
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Legal Business Name | MENDCARE LLC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 900 CHELSEA STE B
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City | EL PASO
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State | TX
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Zip | 79903
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Country | US
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Telephone | 915-351-7312
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Fax | 915-351-7942
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Provider Business Mailing Address
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Address Line | 900 CHELSEA STE B
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City | EL PASO
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State | TX
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Zip | 79903
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Country | US
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Telephone | 915-351-7312
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Fax | 915-351-7942
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MS. MARIA S MENDEZ
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Credential | RN
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Telephone | 915-351-7312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009328
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License Number State | TX
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