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General NPI Number Information
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NPI Number | 1013117639
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL CASEMANGEMENT SERVICES
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Dates
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Enumeration Date | 07/22/2007
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Last Update Date | 07/22/2007
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Provider Practice Location Address
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Address Line | 5111 GLENNWOOD DR
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City | KILLEEN
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State | TX
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Zip | 76542-4316
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Country | US
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Telephone | 254-690-4818
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Fax |
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Provider Business Mailing Address
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Address Line | 5111 GLENNWOOD DR
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City | KILLEEN
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State | TX
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Zip | 76542-4316
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Country | US
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Telephone | 254-690-4818
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Fax |
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Authorized Official
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Title or Position | OWNER/SOCIAL WORKER
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Name | PATRICIA ANN LOWRY
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Credential | LBSW
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Telephone | 254-690-4818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 27835
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License Number State | TX
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