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General NPI Number Information
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NPI Number | 1518296698
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Entity Type | Organization
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Legal Business Name | HANNAH'S PLACE A HOME WITH LOVE
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 12251 RUNNING BIRD LN
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City | AUSTIN
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State | TX
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Zip | 78758-2633
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Country | US
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Telephone | 512-669-3808
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Fax | 512-926-8518
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Provider Business Mailing Address
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Address Line | 12251 RUNNING BIRD LN
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City | AUSTIN
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State | TX
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Zip | 78758-2633
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Country | US
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Telephone | 512-669-3808
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Fax |
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Authorized Official
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Title or Position | OWER/OPERATOR
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Name | MS. TERRIE YVETTE SMITH
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Credential | BUSINESS CERT.
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Telephone | 512-669-3808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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