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NPI 1790983294

NPI 1790983294 : ARANSAS COUNTY COUNCIL ON AGING : ROCKPORT, TX

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General NPI Number Information
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    NPI Number           |    1790983294
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARANSAS COUNTY COUNCIL ON AGING 
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Dates
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    Enumeration Date     |    07/05/2007
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    Last Update Date     |    03/13/2019
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Provider Practice Location Address
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    Address Line         |    912 S CHURCH ST 
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    City                 |    ROCKPORT
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    State                |    TX
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    Zip                  |    78382-2307
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    Country              |    US
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    Telephone            |    361-729-5352
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    Fax                  |    361-729-4826
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Provider Business Mailing Address
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    Address Line         |    912 S CHURCH ST 
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    City                 |    ROCKPORT
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    State                |    TX
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    Zip                  |    78382-2307
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    Country              |    US
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    Telephone            |    361-729-5352
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    Fax                  |    361-729-4826
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |    MS. DEBBIE  THOMPSON SR.
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    Credential           |    
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    Telephone            |    361-729-5352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    133NN1002X
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    Taxonomy Name        |    Nutrition Education Nutritionist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332U00000X
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    Taxonomy Name        |    Home Delivered Meals
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    License Number       |    
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    License Number State |    
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