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General NPI Number Information
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NPI Number | 1437160769
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Entity Type | Organization
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Legal Business Name | AMAZING CARE ADULT DAY & HEALTH SERVICES INC.
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1006 E YAGER LN SUITE A101
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City | AUSTIN
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State | TX
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Zip | 78753-7088
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Country | US
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Telephone | 512-228-3737
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Fax | 512-228-3739
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Provider Business Mailing Address
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Address Line | 1006 E YAGER LN SUITE A101
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City | AUSTIN
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State | TX
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Zip | 78753-7088
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Country | US
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Telephone | 512-228-3737
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Fax | 512-228-3739
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. UDUAK ESSIEN MEDUA
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Credential |
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Telephone | 512-228-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 117615
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License Number State | TX
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