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General NPI Number Information
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NPI Number | 1932872736
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Entity Type | Organization
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Legal Business Name | HERNANDEZ HOME HEALTH LLC
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 206 N. BROADWAY / SUITE #2
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City | ELSA
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State | TX
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Zip | 78543
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Country | US
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Telephone | 956-567-2335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 202
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City | ELSA
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State | TX
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Zip | 78543-0202
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Country | US
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Telephone | 956-567-2335
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. MANUEL HERNANDEZ SR.
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Credential |
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Telephone | 956-261-0336
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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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