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General NPI Number Information
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NPI Number | 1356623011
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Entity Type | Organization
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Legal Business Name | AUSTIN HOME HEART CARE LLC
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Dates
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Enumeration Date | 09/19/2011
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 6429 CLAY ALLISON PASS
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City | AUSTIN
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State | TX
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Zip | 78749-2702
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Country | US
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Telephone | 512-739-7743
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Fax | 512-532-6059
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Provider Business Mailing Address
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Address Line | 6429 CLAY ALLISON PASS
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City | AUSTIN
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State | TX
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Zip | 78749-2702
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Country | US
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Telephone | 512-739-7743
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Fax | 512-532-6059
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Authorized Official
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Title or Position | OWNER
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Name | ROSS ANTHONY BROWN
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Credential | RN ACNS-BC
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Telephone | 512-739-7743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number |
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License Number State |
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