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General NPI Number Information
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NPI Number | 1386930980
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Entity Type | Organization
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Legal Business Name | SOUTH AUSTIN SENIOR CARE LLC
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 2101 S INTERSTATE 35 SUITE 211
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City | AUSTIN
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State | TX
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Zip | 78741-3800
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Country | US
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Telephone | 512-394-4124
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Fax | 512-355-1940
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Provider Business Mailing Address
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Address Line | 805 SUNRISE TRL
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City | SPRING BRANCH
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State | TX
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Zip | 78070-5606
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Country | US
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Telephone | 512-394-4124
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Fax | 512-355-1940
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Authorized Official
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Title or Position | PARTNER
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Name | MR. ADAM KATZ
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Credential |
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Telephone | 512-394-4124
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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 | TX
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