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General NPI Number Information
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NPI Number | 1497904619
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Entity Type | Organization
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Legal Business Name | HEART OF TEXAS SENIOR CARE, LLC
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 2700 WEST ANDERSON LANE SUITE 205-B
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City | AUSTIN
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State | TX
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Zip | 78757-1159
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Country | US
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Telephone | 512-374-1777
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Fax | 512-374-1772
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Provider Business Mailing Address
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Address Line | P.O. BOX 27314
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City | AUSTIN
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State | TX
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Zip | 78755-2314
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Country | US
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Telephone | 512-374-1777
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Fax | 512-374-1772
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. JERRY CECIL DUNLAP
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Credential |
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Telephone | 512-864-3707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | TX
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