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General NPI Number Information
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NPI Number | 1962774299
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Entity Type | Organization
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Legal Business Name | CROSS HOME HEALTH LLC
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 917 S ALAMO RD
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City | ALAMO
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State | TX
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Zip | 78516-9312
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Country | US
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Telephone | 956-325-3934
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Fax | 956-783-6819
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Provider Business Mailing Address
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Address Line | 917 S ALAMO RD
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City | ALAMO
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State | TX
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Zip | 78516-9312
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Country | US
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Telephone | 956-325-3934
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Fax | 956-783-6819
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JAVIER REYES
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Credential | R,.N.,
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Telephone | 956-324-3934
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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 | 013712
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License Number State | TX
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