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General NPI Number Information
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NPI Number | 1518549211
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Entity Type | Organization
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Legal Business Name | CHOICE HOMECARE OF AUSTIN LLC
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 3724 EXECUTIVE CENTER DR STE 220B
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City | AUSTIN
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State | TX
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Zip | 78731-1646
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Country | US
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Telephone | 512-637-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 6760 OLD JACKSONVILLE HWY STE 102
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City | TYLER
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State | TX
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Zip | 75703-0567
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | TRINA LANIER
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Credential |
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Telephone | 903-363-9932
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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 |
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License Number State |
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