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General NPI Number Information
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NPI Number | 1558400333
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Entity Type | Organization
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Legal Business Name | APPROVED QUALITY CARE TEXAS, INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 06/10/2016
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Provider Practice Location Address
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Address Line | 632 CANYON RIM DR
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City | AUSTIN
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State | TX
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Zip | 78746-5061
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Country | US
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Telephone | 512-627-7880
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Fax | 512-280-4787
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Provider Business Mailing Address
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Address Line | PO BOX 163631
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City | AUSTIN
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State | TX
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Zip | 78716-3631
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Country | US
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Telephone | 512-280-1136
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Fax | 512-280-4787
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Authorized Official
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Title or Position | CEO/OWNER
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Name | GERALD ADAM CHAVEZ
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Credential |
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Telephone | 512-627-7880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 001007872
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 001007873
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License Number State | TX
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