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General NPI Number Information
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NPI Number | 1295350262
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Entity Type | Organization
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Legal Business Name | AGING IN YOUR OWN HOME LLC
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 7768 YAUPON DR
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City | AUSTIN
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State | TX
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Zip | 78759-6455
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Country | US
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Telephone | 512-221-2203
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Fax | 512-229-9216
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Provider Business Mailing Address
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Address Line | 7768 YAUPON DR
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City | AUSTIN
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State | TX
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Zip | 78759-6455
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | PRASAD PANWALKER
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Credential |
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Telephone | 512-294-3229
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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 | 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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