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General NPI Number Information
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NPI Number | 1538212949
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Entity Type | Organization
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Legal Business Name | WILLIAMSON BURNET COUNTY OPPORTUNITES, INC.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 S BROWN ST
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City | ROUND ROCK
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State | TX
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Zip | 78664-5812
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Country | US
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Telephone | 512-763-1400
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Fax | 512-763-1400
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Provider Business Mailing Address
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Address Line | PO BOX 740 604 HIGH TECH DRIVE (DO NOT MAIL TO STREET ADDRESS)
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City | GEORGETOWN
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State | TX
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Zip | 78627-0740
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Country | US
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Telephone | 512-763-1400
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Fax | 512-763-1400
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ANDREW SHELL
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Credential |
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Telephone | 512-763-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 00672
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License Number State | TX
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