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General NPI Number Information
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NPI Number | 1497092308
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Entity Type | Organization
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Legal Business Name | OUTREACH HEALTH COMMUNITY CARE SERVICES, L.P.
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 4242 MEDICAL DRIVE, BLDG 1, SUITE 1100
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-736-1812
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Fax | 210-737-0843
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Provider Business Mailing Address
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Address Line | 251 RENNER PKWY
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City | RICHARDSON
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State | TX
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Zip | 75080-1316
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Country | US
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Telephone | 512-692-7834
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Fax | 972-792-6739
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Authorized Official
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Title or Position | ADVANCEDLEGAL/COMPLIANCESPECIALIST
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Name | REBECCA WILLIAMS
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Credential |
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Telephone | 214-538-6689
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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 | 007332
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License Number State | TX
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