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General NPI Number Information
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NPI Number | 1396194825
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Entity Type | Organization
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Legal Business Name | AUSTIN-TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 5015 S INTERSTATE 35 SUITE 200 C
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City | AUSTIN
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State | TX
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Zip | 78744-2713
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Country | US
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Telephone | 512-804-3203
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Fax | 512-326-1287
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Provider Business Mailing Address
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Address Line | 5015 S IH 35 SUITE 200 C
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City | AUSTIN
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State | TX
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Zip | 78744-2713
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Country | US
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Telephone | 512-804-3203
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Fax | 512-326-1287
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | PATRICIA CORRIGAN STRICKLAND
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Credential |
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Telephone | 512-804-3203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 30813
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License Number State | TX
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