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General NPI Number Information
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NPI Number | 1093357055
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Entity Type | Organization
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Legal Business Name | PFLUGERVILLE ALMC, LLC
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 1020 E. WELLS BRANCH PARKWAY
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City | PFLUGERVILLE
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State | TX
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Zip | 78660
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Country | US
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Telephone | 512-256-9750
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Fax |
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Provider Business Mailing Address
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Address Line | 11701 BEE CAVES RD STE 221
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City | AUSTIN
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State | TX
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Zip | 78738-6468
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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 | MEMBER
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Name | JASON CARAWAY
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Credential |
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Telephone | 512-761-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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