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General NPI Number Information
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NPI Number | 1528480514
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Entity Type | Organization
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Legal Business Name | CASE MANAGEMENT SOLUTIONS
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 403 SKYLINE RD
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City | GEORGETOWN
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State | TX
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Zip | 78628-3826
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Country | US
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Telephone | 512-560-5896
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Fax |
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Provider Business Mailing Address
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Address Line | 403 SKYLINE RD
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City | GEORGETOWN
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State | TX
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Zip | 78628-3826
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Country | US
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Telephone | 512-560-5896
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER
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Name | BONNIE FAYE DAVIS
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Credential | LBSW
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Telephone | 512-560-5896
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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 |
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License Number State |
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