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General NPI Number Information
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NPI Number | 1356397301
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Entity Type | Organization
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Legal Business Name | AMARILLO MULTISERVICE CENTER FOR THE AGING, INC.
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 3108 S. FILLMORE ST
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City | AMARILLO
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State | TX
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Zip | 79110-1026
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Country | US
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Telephone | 806-374-5516
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Fax | 806-373-9446
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Provider Business Mailing Address
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Address Line | 3108 S. FILLMORE ST
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City | AMARILLO
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State | TX
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Zip | 79110-1026
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Country | US
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Telephone | 806-374-5516
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Fax | 806-373-9446
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. KRISTEN (KRISSY) R HURT
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Credential | RN
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Telephone | 806-374-5516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 003308
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number | 116635
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License Number State | TX
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