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General NPI Number Information
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NPI Number | 1528897840
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Entity Type | Organization
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Legal Business Name | PENNY'S CARE PERSONAL SERVICES
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Dates
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Enumeration Date | 07/26/2024
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 13809 RESEARCH BLVD STE 500
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City | AUSTIN
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State | TX
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Zip | 78750-1223
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Country | US
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Telephone | 512-506-0088
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Fax | 512-714-5397
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Provider Business Mailing Address
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Address Line | 301 S HEATHERWILDE BLVD # 543
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3533
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Country | US
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Telephone | 512-222-9379
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Fax | 512-714-5397
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LAFRITZI BATISTE
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Credential |
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Telephone | 512-506-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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