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General NPI Number Information
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NPI Number | 1144550047
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Entity Type | Organization
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Legal Business Name | HEART OF TEXAS ELDER CARE, LLC
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 92 WHITE MAGNOLIA CIR
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City | AUSTIN
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State | TX
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Zip | 78734-6250
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Country | US
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Telephone | 512-374-1777
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Fax | 512-607-6486
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Provider Business Mailing Address
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Address Line | 12400 ST HWY 71 W STE 350-396
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City | BEE CAVE
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State | TX
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Zip | 78738-6517
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Country | US
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Telephone | 512-374-1777
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Fax | 512-607-6486
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. WILLIAM SCOTT CLARK
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Credential |
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Telephone | 512-828-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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