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General NPI Number Information
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NPI Number | 1457582348
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Entity Type | Organization
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Legal Business Name | WESTLAKE CAREGIVERS, LLC
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 1011 WESTLAKE DR # 202
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-4511
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Country | US
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Telephone | 512-329-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 WESTLAKE DR # 202
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-4511
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Country | US
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Telephone | 512-329-0001
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MARTHA BURGESS
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Credential |
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Telephone | 512-329-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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