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General NPI Number Information
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NPI Number | 1215246046
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Entity Type | Organization
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Legal Business Name | CRNNURMSC,LLC
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 13740 RESEARCH BLVD STE H6
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City | AUSTIN
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State | TX
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Zip | 78750-1837
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Country | US
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Telephone | 512-382-0281
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Fax | 512-382-0328
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Provider Business Mailing Address
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Address Line | 13740 RESEARCH BLVD., H6
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City | AUSTIN
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State | TX
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Zip | 78750
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Country | US
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Telephone | 512-382-0281
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Fax | 512-382-0328
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Authorized Official
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Title or Position | OWNER
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Name | CARLOS GUERRERO JR.
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Credential |
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Telephone | 512-382-0281
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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 | 013145
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License Number State | TX
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