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General NPI Number Information
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NPI Number | 1184016032
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Entity Type | Organization
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Legal Business Name | ICB ENTERPRISES CORPORATION
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 02/19/2016
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Provider Practice Location Address
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Address Line | 11183 CIRCLE DR SUITE C
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City | AUSTIN
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State | TX
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Zip | 78736
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Country | US
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Telephone | 512-400-2333
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Fax | 512-400-2334
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Provider Business Mailing Address
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Address Line | 11183 CIRCLE C DR SUITE C
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City | AUSTIN
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State | TX
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Zip | 78736
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Country | US
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Telephone | 512-400-2333
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Fax | 512-400-2334
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RAPHAEL HERNANDEZ
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Credential |
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Telephone | 512-400-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 016857
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | TX
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