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General NPI Number Information
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NPI Number | 1336286061
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Entity Type | Organization
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Legal Business Name | AMERICAN HABILITATION SERVICES, INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 1125 JUDSON RD SUITE 100
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City | LONGVIEW
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State | TX
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Zip | 75601-5192
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Country | US
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Telephone | 903-247-4876
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Fax | 903-753-3484
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Provider Business Mailing Address
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Address Line | 9050 N CAPITAL OF TEXAS HWY BUILDING 3-SUITE 130
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City | AUSTIN
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State | TX
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Zip | 78759-7268
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Country | US
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Telephone | 512-236-1312
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Fax |
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Authorized Official
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Title or Position | SR. VICE PRESIDENT/CFO
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Name | MR. DENNIS R CLAPP
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Credential |
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Telephone | 512-236-1312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice 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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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