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General NPI Number Information
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NPI Number | 1003538182
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Entity Type | Organization
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Legal Business Name | AUSTIN OAKS PHYSICAL MEDICINE PLLC
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 7718 WOOD HOLLOW DR STE 150
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City | AUSTIN
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State | TX
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Zip | 78731-1602
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Country | US
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Telephone | 737-304-7500
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Fax | 737-403-7501
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Provider Business Mailing Address
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Address Line | 7718 WOOD HOLLOW DR STE 150
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City | AUSTIN
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State | TX
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Zip | 78731-1602
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Country | US
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Telephone | 737-304-7500
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Fax | 737-403-7501
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Authorized Official
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Title or Position | CREDENTIALING DIRECTOR
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Name | MS. GENNIE BUDET
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Credential |
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Telephone | 702-462-9729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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