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General NPI Number Information
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NPI Number | 1013632389
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Entity Type | Organization
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Legal Business Name | HOLISTIC CARE MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 10/07/2022
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 13625 POND SPRINGS RD STE 101
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City | AUSTIN
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State | TX
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Zip | 78729-4400
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Country | US
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Telephone | 737-781-3845
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Fax |
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Provider Business Mailing Address
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Address Line | 9604 WOODVALE DR APT B
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City | AUSTIN
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State | TX
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Zip | 78729-3562
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Country | US
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Telephone | 512-661-1919
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Fax |
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | AUSTIN AGUIRRE
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Credential | JD
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Telephone | 512-661-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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