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General NPI Number Information
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NPI Number | 1447995626
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Entity Type | Organization
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Legal Business Name | GOLDEN RULE WAIVER SERVICES INC
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 704 E WONSLEY DR STE 202
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City | AUSTIN
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State | TX
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Zip | 78753-6502
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Country | US
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Telephone | 512-835-8955
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Fax |
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Provider Business Mailing Address
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Address Line | 9 HEDGEBROOK WAY
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City | THE HILLS
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State | TX
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Zip | 78738-1317
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Country | US
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Telephone | 512-507-9878
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS CONROY
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Credential |
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Telephone | 512-835-8955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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