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General NPI Number Information
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NPI Number | 1982925939
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Entity Type | Organization
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Legal Business Name | HEARTLAND INDEPENDENT LIVING SOLUTIONS
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Dates
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Enumeration Date | 06/14/2010
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 237 CREST TRL
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City | SAN ANTONIO
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State | TX
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Zip | 78232-3746
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Country | US
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Telephone | 210-748-4841
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160009
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City | SAN ANTONIO
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State | TX
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Zip | 78280-2209
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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 | OWNER
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Name | MR. DENNIS JAMES NEILL II
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Credential |
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Telephone | 210-748-4841
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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 | 253Z00000X
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License Number State | TX
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