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General NPI Number Information
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NPI Number | 1700221033
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Entity Type | Organization
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Legal Business Name | AUSTIN HEALTH SERVICES
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 10912 LONG DAY CV
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City | AUSTIN
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State | TX
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Zip | 78754-5923
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Country | US
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Telephone | 512-947-9426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 181014
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City | AUSTIN
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State | TX
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Zip | 78718-1014
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Country | US
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Telephone | 512-947-9426
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Fax |
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Authorized Official
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Title or Position | LEAD PARTNER
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Name | MR. DAVID VON OHLEN
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Credential | RN
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Telephone | 512-947-9426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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