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General NPI Number Information
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NPI Number | 1477604734
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Entity Type | Organization
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Legal Business Name | AUSTIN GROUPS FOR THE ELDERLY
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 3710 CEDAR STREET SUITE 2
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City | AUSTIN
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State | TX
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Zip | 78705-1450
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Country | US
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Telephone | 512-451-4611
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Fax | 512-451-3110
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Provider Business Mailing Address
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Address Line | 3710 CEDAR STREET BOX 2
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City | AUSTIN
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State | TX
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Zip | 78705-1450
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Country | US
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Telephone | 512-451-4611
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Fax | 512-451-3110
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Authorized Official
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Title or Position | CEO
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Name | SUZANNE ANDERSON
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Credential |
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Telephone | 512-600-9285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 118767
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License Number State | TX
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