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General NPI Number Information
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NPI Number | 1972374841
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Entity Type | Organization
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Legal Business Name | ST ANTHONY'S DIRECT CARE, LLC
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 8500 MENAUL BLVD NE STE B480
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2247
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Country | US
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Telephone | 505-888-9618
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Fax | 505-883-2931
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Provider Business Mailing Address
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Address Line | 8500 MENAUL BLVD NE STE B480
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2247
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Country | US
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Telephone | 505-888-9618
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Fax | 505-883-2931
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | CHRISTINE ANN BROWN
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Credential |
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Telephone | 505-888-9618
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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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