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General NPI Number Information
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NPI Number | 1972850543
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO HOME CARE ASSISTANCE
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 22016 SENNA HLS
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City | SAN ANTONIO
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State | TX
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Zip | 78266-2230
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Country | US
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Telephone | 210-748-5093
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Fax |
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Provider Business Mailing Address
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Address Line | 19239 STONE OAK PKWY SUITE 106
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3470
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Country | US
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Telephone | 210-748-5093
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SARA J MARROW
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Credential |
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Telephone | 210-748-5093
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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 | TX
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