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General NPI Number Information
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NPI Number | 1760336200
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Entity Type | Organization
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Legal Business Name | BASTROP COMMUNITY CARES
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 806 WATER ST
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City | BASTROP
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State | TX
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Zip | 78602-3832
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Country | US
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Telephone | 512-409-3116
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Fax |
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Provider Business Mailing Address
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Address Line | 148 MARTIN CROSSING DR
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City | CEDAR CREEK
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State | TX
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Zip | 78612-3780
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Country | US
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Telephone | 512-409-3116
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Fax |
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Authorized Official
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Title or Position | COMMUNITY HEALTH WORKER
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Name | ELENA FAZ
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Credential | CHW
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Telephone | 512-409-3116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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