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General NPI Number Information
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NPI Number | 1427882091
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Entity Type | Organization
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Legal Business Name | CENTRAL TEXAS COMMUNITY HEALTH CENTERS
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Dates
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Enumeration Date | 08/27/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1210 W BRAKER LN
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City | AUSTIN
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State | TX
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Zip | 78758-3801
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Country | US
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Telephone | 512-978-9800
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Fax | 122-792-5565
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Provider Business Mailing Address
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Address Line | PO BOX 17366
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City | AUSTIN
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State | TX
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Zip | 78760-7366
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Country | US
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Telephone | 512-978-8994
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JOY SLOAN
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Credential |
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Telephone | 512-978-9811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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