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General NPI Number Information
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NPI Number | 1851549919
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Entity Type | Organization
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Legal Business Name | INDEPENDENT LIVING SOLUTIONS
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 12110 MOSLEY LN
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City | AUSTIN
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State | TX
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Zip | 78727-6037
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Country | US
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Telephone | 512-779-4907
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Fax | 501-638-3398
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Provider Business Mailing Address
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Address Line | 12110 MOSLEY LN
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City | AUSTIN
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State | TX
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Zip | 78727-6037
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Country | US
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Telephone | 512-779-4907
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Fax | 501-638-3398
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Authorized Official
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Title or Position | PARTNER
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Name | MR. ALAN BRUCE HOUSE
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Credential |
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Telephone | 512-779-4907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number | PI3466
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License Number State | TX
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