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General NPI Number Information
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NPI Number | 1942800651
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Entity Type | Organization
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Legal Business Name | LD5 LLC
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 4209 N 22ND ST
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City | MCALLEN
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State | TX
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Zip | 78504-4143
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Country | US
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Telephone | 956-578-8284
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Fax | 956-290-8284
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Provider Business Mailing Address
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Address Line | 4209 N 22ND ST
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City | MCALLEN
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State | TX
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Zip | 78504-4143
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Country | US
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Telephone | 956-578-8284
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Fax | 956-290-8284
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LISA ANN BLUM
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Credential |
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Telephone | 956-534-1471
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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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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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