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General NPI Number Information
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NPI Number | 1366714800
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Entity Type | Organization
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Legal Business Name | TEXAS FAMILY SERVICES
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 1810 MIRIAM AVE
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City | AUSTIN
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State | TX
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Zip | 78702-1519
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Country | US
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Telephone | 512-574-1722
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 MIRIAM AVE
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City | AUSTIN
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State | TX
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Zip | 78702-1519
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Country | US
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Telephone | 512-574-1722
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARIEL ROSENBAUM
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Credential | LCSW
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Telephone | 512-574-1722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 52286
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 52286
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License Number State | TX
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