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General NPI Number Information
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NPI Number | 1821511460
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Entity Type | Organization
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Legal Business Name | GOODLOOKING LLC
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/25/2017
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Provider Practice Location Address
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Address Line | 10300 METRIC BLVD STE 300
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City | AUSTIN
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State | TX
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Zip | 78758-4975
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Country | US
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Telephone | 844-576-8773
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Fax | 888-891-3521
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Provider Business Mailing Address
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Address Line | 10300 METRIC BLVD STE 300
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City | AUSTIN
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State | TX
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Zip | 78758-4975
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Country | US
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Telephone | 18445768773
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JONATHON ALLEN KOVAR
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Credential |
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Telephone | 936-556-2613
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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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