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General NPI Number Information
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NPI Number | 1295309219
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Entity Type | Individual
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Provider Name | LATOYA BASEY
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Gender | Female
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 6400 LOYOLA LN
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City | AUSTIN
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State | TX
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Zip | 78724-3524
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Country | US
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Telephone | 469-740-0829
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10831
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City | AUSTIN
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State | TX
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Zip | 78766-1831
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Country | US
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Telephone | 469-740-0829
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 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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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NA0008689987
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License Number State | TX
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