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General NPI Number Information
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NPI Number | 1841405677
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Entity Type | Organization
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Legal Business Name | CENTRAL TEXAS CAREGIVERS, INC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 12416 HYMEADOW DR STE 202
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City | AUSTIN
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State | TX
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Zip | 78750-2283
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Country | US
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Telephone | 512-917-2058
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Fax | 512-331-7995
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Provider Business Mailing Address
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Address Line | 12416 HYMEADOW DR, SUITE 202
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City | AUSTIN
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State | TX
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Zip | 78750
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Country | US
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Telephone | 512-917-2058
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Fax | 512-331-7995
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SEANA M WHEELER
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Credential |
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Telephone | 512-917-2058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 008795
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 008795
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License Number State | TX
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