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General NPI Number Information
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NPI Number | 1972664688
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Entity Type | Organization
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Legal Business Name | HOME KARE INC., OF DONA ANA
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 2303 DIVOT AVE SUITE 5
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City | LAS CRUCES
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State | NM
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Zip | 88001-8417
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Country | US
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Telephone | 575-521-2663
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Fax | 575-521-3046
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Provider Business Mailing Address
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Address Line | 2303 DIVOT AVE SUITE 5
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City | LAS CRUCES
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State | NM
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Zip | 88001-8417
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Country | US
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Telephone | 575-521-2663
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Fax | 575-521-3046
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Authorized Official
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Title or Position | CEO VICE PRESIDENT
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Name | MRS. IRMA BENAVIDEZ FELIX
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Credential | RN, BSN
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Telephone | 505-521-2663
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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 | 6404
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License Number State | NM
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