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General NPI Number Information
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NPI Number | 1720223852
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Entity Type | Organization
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Legal Business Name | OLIVER HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 6448 E HWY 290 STE F-102103
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City | AUSTIN
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State | TX
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Zip | 78723-1068
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Country | US
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Telephone | 512-482-0499
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Fax | 512-605-3719
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Provider Business Mailing Address
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Address Line | PO BOX 4647
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City | AUSTIN
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State | TX
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Zip | 78765-3843
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Country | US
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Telephone | 512-482-0499
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Fax | 512-605-3719
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Authorized Official
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Title or Position | ADMINISTRATOR/ OWNER
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Name | MR. JOHN C OLIVER III
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Credential |
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Telephone | 512-482-0499
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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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