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General NPI Number Information
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NPI Number | 1225199557
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Entity Type | Organization
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Legal Business Name | PM MANAGEMENT-AUSTIN NC LLC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 12021 METRIC BLVD
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City | AUSTIN
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State | TX
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Zip | 78758-8616
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Country | US
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Telephone | 512-228-3300
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Fax | 512-228-3349
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Provider Business Mailing Address
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Address Line | 1703 W 5TH ST SUITE 800
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City | AUSTIN
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State | TX
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Zip | 78703-4893
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Country | US
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Telephone | 512-344-4235
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Fax | 877-639-9530
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Authorized Official
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Title or Position | MANAGER
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Name | BENJAMIN M HANSON
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Credential |
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Telephone | 512-344-4235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | TX
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