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General NPI Number Information
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NPI Number | 1487907101
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Entity Type | Organization
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Legal Business Name | C-A-R-E
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 120 HALLS RD
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City | ANGLETON
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State | TX
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Zip | 77515-8450
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Country | US
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Telephone | 979-215-4638
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Fax |
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Provider Business Mailing Address
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Address Line | 120 HALLS RD
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City | ANGLETON
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State | TX
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Zip | 77515-8450
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Country | US
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Telephone | 979-215-4638
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Fax |
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Authorized Official
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Title or Position | LVN
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Name | MRS. MEAGAN J MULCARE
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Credential | LVN
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Telephone | 979-215-4638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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