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General NPI Number Information
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NPI Number | 1952757080
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Entity Type | Organization
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Legal Business Name | RADIANT HOME CARE LLC
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Dates
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Enumeration Date | 05/07/2016
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Last Update Date | 05/07/2016
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Provider Practice Location Address
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Address Line | 7310 BLANCO RD STE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4969
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Country | US
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Telephone | 210-549-2039
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Fax | 210-549-2039
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Provider Business Mailing Address
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Address Line | 7310 BLANCO RD STE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4969
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Country | US
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Telephone | 210-549-2039
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Fax | 210-549-2039
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Authorized Official
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Title or Position | CHEIF NURSING OFFICER
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Name | MS. ALEXIS LORRAINE MILLER
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Credential | R.N.
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Telephone | 760-534-1275
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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