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NPI 1114081817

NPI 1114081817 : WORKERS ASSISTANCE PROGRAM, INC. : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1114081817
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    Entity Type          |    Organization 
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    Legal Business Name  |    WORKERS ASSISTANCE PROGRAM, INC. 
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Dates
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    Enumeration Date     |    12/20/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    2525 WALLINGWOOD DR BLDG. 5
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78746-6900
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    Country              |    US
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    Telephone            |    512-328-1144
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    Fax                  |    512-328-3437
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Provider Business Mailing Address
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    Address Line         |    2525 WALLINGWOOD DR BLDG. 5
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78746-6900
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    Country              |    US
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    Telephone            |    512-328-1144
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    Fax                  |    512-328-3437
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. TERRENCE ROSS COWAN 
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    Credential           |    MPA
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    Telephone            |    512-328-1144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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