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General NPI Number Information
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NPI Number | 1821125352
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Entity Type | Organization
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Legal Business Name | CALLAHAN COUNTY AGING SERVICES
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 400 4TH ST STE 302 COURTHOUSE
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City | BAIRD
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State | TX
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Zip | 79504
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Country | US
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Telephone | 325-854-5858
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Fax | 325-854-5859
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Provider Business Mailing Address
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Address Line | 400 4TH ST STE 302 COURTHOUSE
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City | BAIRD
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State | TX
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Zip | 79504
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Country | US
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Telephone | 325-854-5858
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Fax | 325-854-5859
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEBORAH LYNN MOOREHEAD
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Credential |
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Telephone | 325-854-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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