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General NPI Number Information
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NPI Number | 1912789157
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Entity Type | Organization
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Legal Business Name | LA PASION PRIMARY HOME CARE LLC
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 4313 N 10TH ST STE C1
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City | MCALLEN
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State | TX
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Zip | 78504-3022
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Country | US
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Telephone | 956-777-9433
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Fax | 956-800-4615
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Provider Business Mailing Address
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Address Line | 4313 N 10TH ST STE C1
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City | MCALLEN
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State | TX
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Zip | 78504-3022
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Country | US
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Telephone | 956-777-9433
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | NOELIA MORIN
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Credential |
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Telephone | 956-777-9433
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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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