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General NPI Number Information
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NPI Number | 1073510574
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Entity Type | Organization
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Legal Business Name | DEPENDACARE OF AUSTIN
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 5321 INDUSTRIAL OAKS BLVD SUITE # 121
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City | AUSTIN
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State | TX
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Zip | 78735-8822
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Country | US
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Telephone | 512-892-0405
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Fax | 512-892-0431
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Provider Business Mailing Address
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Address Line | 5321 INDUSTRIAL OAKS BLVD SUITE # 121
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City | AUSTIN
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State | TX
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Zip | 78735-8822
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Country | US
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Telephone | 512-892-0405
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Fax | 512-892-0431
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Authorized Official
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Title or Position | CEO
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Name | MS. LINDEE L HENDRIX
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Credential |
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Telephone | 512-944-9916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0071814
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0071814
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License Number State | TX
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