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General NPI Number Information
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NPI Number | 1518296409
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Entity Type | Organization
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Legal Business Name | CENTRAL TEXAS COUNCIL ON ALCOHOLISM AND DRUG ABUSE
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 819 S 5TH ST
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City | TEMPLE
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State | TX
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Zip | 76504-5726
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Country | US
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Telephone | 254-773-3722
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Fax | 254-778-2197
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Provider Business Mailing Address
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Address Line | 819 S 5TH ST
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City | TEMPLE
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State | TX
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Zip | 76504-5726
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Country | US
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Telephone | 254-773-3722
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Fax | 254-778-2197
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | BARBARA A EASLEY
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Credential |
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Telephone | 254-690-4455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 2188
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License Number State | TX
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