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General NPI Number Information
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NPI Number | 1093995714
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Entity Type | Organization
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Legal Business Name | LONE STAR UROLOGY PLLC
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 2911 MEDICAL ARTS ST STE 1A
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City | AUSTIN
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State | TX
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Zip | 78705-3376
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Country | US
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Telephone | 512-476-9850
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Fax | 512-236-8867
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Provider Business Mailing Address
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Address Line | 2911 MEDICAL ARTS ST STE 1A
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City | AUSTIN
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State | TX
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Zip | 78705-3376
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Country | US
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Telephone | 512-476-9850
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Fax | 512-236-8867
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. MICAELA ALEMAN
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Credential | M.D.
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Telephone | 512-476-9850
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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 | K0598
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License Number State | TX
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