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General NPI Number Information
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NPI Number | 1053508010
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Entity Type | Organization
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Legal Business Name | ABILIO MUNOZ, MD PA
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 2115 NORTHLAND DR
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City | AUSTIN
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State | TX
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Zip | 78756-1115
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Country | US
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Telephone | 512-377-3400
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Fax | 512-377-3403
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Provider Business Mailing Address
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Address Line | 2115 NORTHLAND DR
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City | AUSTIN
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State | TX
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Zip | 78756-1115
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Country | US
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Telephone | 512-377-3400
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Fax | 512-377-3403
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MRS. MONIQUE L MUNOZ
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Credential | RN
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Telephone | 512-377-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K7836
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License Number State | TX
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