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General NPI Number Information
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NPI Number | 1881260743
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Entity Type | Organization
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Legal Business Name | WANDA E PRICE
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 7300 BUCKNELL DR
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City | AUSTIN
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State | TX
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Zip | 78723-1632
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Country | US
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Telephone | 469-364-0800
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Fax | 512-927-8470
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Provider Business Mailing Address
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Address Line | 7300 BUCKNELL DR
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City | AUSTIN
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State | TX
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Zip | 78723-1632
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Country | US
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Telephone | 469-364-0800
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Fax | 512-927-8470
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Authorized Official
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Title or Position | CUSTODIAL CARE SERV. BILLING CODING
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Name | WANDA E PRICE
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Credential |
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Telephone | 469-723-7410
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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 |
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License Number State |
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