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General NPI Number Information
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NPI Number | 1114115839
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Entity Type | Organization
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Legal Business Name | RURAL TAYLOR COUNTY AGING SERVICES
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 205 NORTH ST.
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City | TYE
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State | TX
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Zip | 79563-2003
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Country | US
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Telephone | 325-695-2372
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Fax | 325-692-0129
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Provider Business Mailing Address
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Address Line | PO BOX 282
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City | TYE
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State | TX
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Zip | 79563-0282
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Country | US
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Telephone | 325-695-2372
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Fax | 325-692-0129
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Authorized Official
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Title or Position | MAYOR
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Name | MR. ROGER BUTCH SCHUMAN
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Credential |
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Telephone | 325-691-5867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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