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General NPI Number Information
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NPI Number | 1093697450
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Entity Type | Organization
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Legal Business Name | AUSTIN FUNCTIONAL MEDICINE PLLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 5808 BALCONES DR STE 205
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City | AUSTIN
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State | TX
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Zip | 78731-4265
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Country | US
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Telephone | 512-593-8222
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Fax |
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Provider Business Mailing Address
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Address Line | 5808 BALCONES DR STE 205
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City | AUSTIN
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State | TX
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Zip | 78731-4265
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Country | US
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Telephone | 512-593-8222
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | HARBIR SINGH
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Credential | MD
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Telephone | 610-750-2699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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