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General NPI Number Information
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NPI Number | 1235441189
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Entity Type | Organization
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Legal Business Name | CLEMENT CARE INC.
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 9811 ANDERSON MILL RD SUITE 175
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City | AUSTIN
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State | TX
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Zip | 78750-2262
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Country | US
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Telephone | 512-250-2103
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Fax | 512-250-2126
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Provider Business Mailing Address
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Address Line | 9811 ANDERSON MILL RD SUITE 175
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City | AUSTIN
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State | TX
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Zip | 78750-2262
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Country | US
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Telephone | 512-250-2103
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Fax | 512-250-2126
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARGARET CLEMENT
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Credential |
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Telephone | 512-250-2103
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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 | 009360
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License Number State | TX
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