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General NPI Number Information
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NPI Number | 1942690524
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Entity Type | Organization
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Legal Business Name | ERATH COUNTY SENIOR CITIZENS, INC
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 310 W LINGLEVILLE RD
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City | STEPHENVILLE
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State | TX
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Zip | 76401-2220
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Country | US
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Telephone | 254-965-3510
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Fax | 254-831-9530
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Provider Business Mailing Address
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Address Line | 310 W LINGLEVILLE RD
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City | STEPHENVILLE
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State | TX
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Zip | 76401-2220
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Country | US
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Telephone | 254-965-3510
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Fax | 254-831-9530
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELIZABETH JOHNSON
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Credential | LMSW
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Telephone | 254-965-3510
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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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