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General NPI Number Information
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NPI Number | 1396143269
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Entity Type | Organization
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Legal Business Name | TEXAS COUNTY HOMECARE
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Dates
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Enumeration Date | 12/09/2014
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 3571 FAR WEST BLVD # 125
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City | AUSTIN
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State | TX
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Zip | 78731-3064
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Country | US
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Telephone | 512-271-1530
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Fax | 855-861-0787
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Provider Business Mailing Address
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Address Line | 3571 FAR WEST BLVD # 125
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City | AUSTIN
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State | TX
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Zip | 78731-3064
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Country | US
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Telephone | 512-271-1530
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Fax | 855-861-0787
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Authorized Official
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Title or Position | LVN
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Name | CRYSTAL FRANKLIN
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Credential |
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Telephone | 512-271-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 016414
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License Number State | TX
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