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General NPI Number Information
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NPI Number | 1962139949
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Entity Type | Organization
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Legal Business Name | BELMAR PRIMARY HOME CARE LLC
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 600 N FLORES ST
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-3534
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Country | US
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Telephone | 956-263-1521
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Fax | 956-263-1596
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Provider Business Mailing Address
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Address Line | PO BOX 1023
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-1023
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Country | US
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Telephone | 956-263-1521
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Fax | 956-263-1596
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Authorized Official
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Title or Position | LVN/OWNER
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Name | MARTHA PEREZ
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Credential |
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Telephone | 956-956-2631
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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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