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General NPI Number Information
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NPI Number | 1487027116
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Entity Type | Organization
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Legal Business Name | FAMILY PRIMARY HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 608 MORROW ST STE 102A
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City | AUSTIN
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State | TX
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Zip | 78752-1348
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Country | US
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Telephone | 512-731-6461
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Fax |
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Provider Business Mailing Address
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Address Line | 608 MORROW ST STE 102A
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City | AUSTIN
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State | TX
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Zip | 78752-1348
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Country | US
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Telephone | 512-731-6461
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | FELICIA C OJIYI
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Credential | R.N
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Telephone | 512-731-6461
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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 |
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License Number State |
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