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General NPI Number Information
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NPI Number | 1124355490
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Entity Type | Organization
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Legal Business Name | PROPER CARE LLC
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Dates
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Enumeration Date | 11/07/2009
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Last Update Date | 11/07/2009
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Provider Practice Location Address
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Address Line | 2007 SUNNY BROOK DR
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City | AUSTIN
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State | TX
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Zip | 78723-3451
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Country | US
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Telephone | 512-585-8459
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Fax | 512-366-8199
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Provider Business Mailing Address
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Address Line | 2007 SUNNY BROOK DR
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City | AUSTIN
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State | TX
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Zip | 78723-3451
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Country | US
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Telephone | 512-585-8459
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Fax | 512-366-8199
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Authorized Official
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Title or Position | OWNER
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Name | SUZANNE OLIVER
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Credential | LCSW
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Telephone | 512-585-8459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 32001
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License Number State | TX
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