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General NPI Number Information
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NPI Number | 1558784348
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Entity Type | Organization
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Legal Business Name | A.L.L. LONESTAR INC
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 11300 FARRAH STE 100
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City | AUSTIN
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State | TX
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Zip | 78748-2196
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Country | US
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Telephone | 512-872-6116
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Fax |
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Provider Business Mailing Address
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Address Line | 15412 SWISS ALPS CT
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City | AUSTIN
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State | TX
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Zip | 78738-4036
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Country | US
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Telephone | 210-385-3209
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YAMMILE GALLEGOS
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Credential |
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Telephone | 512-872-6116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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