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General NPI Number Information
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NPI Number | 1972005064
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Entity Type | Individual
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Provider Name | LAURO E. GARZA
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Gender | Male
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 705 W BLUE BONNET ST
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-4350
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Country | US
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Telephone | 956-345-1308
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Fax |
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Provider Business Mailing Address
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Address Line | 705 W BLUE BONNET ST
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-4350
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 |
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License Number State |
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Taxonomy #2
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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 #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 019605
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License Number State | TX
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