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General NPI Number Information
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NPI Number | 1043522725
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Entity Type | Organization
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Legal Business Name | LONGHORN SENIOR CARE LLC
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 5555 N LAMAR BLVD STE K100
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City | AUSTIN
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State | TX
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Zip | 78751-1063
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Country | US
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Telephone | 512-310-2273
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Fax | 866-517-4896
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Provider Business Mailing Address
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Address Line | 5555 N LAMAR BLVD STE K100
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City | AUSTIN
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State | TX
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Zip | 78751-1063
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Country | US
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Telephone | 512-310-2273
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Fax | 866-517-4896
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Authorized Official
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Title or Position | OWNER, PRESIDENT & CEO
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Name | MR. PATRICK A. HAYS
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Credential |
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Telephone | 210-693-8711
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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 |
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