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General NPI Number Information
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NPI Number | 1982635538
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Entity Type | Organization
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Legal Business Name | AFFECTIONATE HOME CARE AND COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 315 N SHARY RD
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City | MISSION
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State | TX
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Zip | 78572-8208
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Country | US
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Telephone | 956-583-3692
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Fax | 956-583-2627
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Provider Business Mailing Address
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Address Line | 315 N SHARY RD
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City | MISSION
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State | TX
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Zip | 78572-8208
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Country | US
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Telephone | 956-583-3692
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Fax | 956-583-2627
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JULIA PATRICIA LARA
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Credential |
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Telephone | 18666318855
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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 | 009972
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License Number State | TX
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