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General NPI Number Information
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NPI Number | 1083631071
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Entity Type | Organization
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Legal Business Name | MAGELLA MEDICAL ASSOCIATES BILLING, INC.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2400 ROUND ROCK AVE
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City | ROUND ROCK
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State | TX
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Zip | 78681-4004
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Country | US
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Telephone | 512-341-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 800-243-3829
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Fax | 214-343-2814
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | DR. MICHAEL D DWYER
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Credential |
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Telephone | 972-437-5099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal 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 | 2080P0008X
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Taxonomy Name | Pediatric Neurodevelopmental Disabilities Physician
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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