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General NPI Number Information
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NPI Number | 1053797431
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Entity Type | Organization
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Legal Business Name | CHM ADULT CARE CENTER
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 2524 ARBOR DR NONE
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City | ROUND ROCK
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State | TX
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Zip | 78681-2343
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Country | US
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Telephone | 512-965-4924
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Fax |
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Provider Business Mailing Address
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Address Line | 2524 ARBOR DR NONE
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City | ROUND ROCK
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State | TX
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Zip | 78681-2343
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Country | US
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Telephone | 512-965-4924
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Fax |
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | NAIMEI TANG
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Credential |
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Telephone | 512-981-8019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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