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General NPI Number Information
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NPI Number | 1932680188
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Entity Type | Organization
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Legal Business Name | EL VALLE QUALITY HOME CARE
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Dates
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Enumeration Date | 08/26/2018
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Last Update Date | 08/26/2018
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Provider Practice Location Address
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Address Line | 23092 EL CAMPO RD
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City | HARLINGEN
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State | TX
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Zip | 78552-4147
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Country | US
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Telephone | 956-357-0446
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Fax | 956-230-0300
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Provider Business Mailing Address
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Address Line | 23092 EL CAMPO RD
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City | HARLINGEN
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State | TX
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Zip | 78552-4147
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Country | US
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Telephone | 956-357-0446
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Fax | 956-230-0300
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Authorized Official
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Title or Position | OWNER/ADMIN
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Name | JESSE JONES
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Credential | M.ED
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Telephone | 956-357-0446
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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 | 018780
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License Number State | TX
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