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General NPI Number Information
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NPI Number | 1104149962
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Entity Type | Organization
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Legal Business Name | WILLIAM C NEMETH MD, PA
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 4534 WESTGATE BLVD STE112
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City | AUSTIN
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State | TX
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Zip | 78745-1468
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Country | US
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Telephone | 512-334-2144
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Fax | 512-439-7371
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Provider Business Mailing Address
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Address Line | 4534 WESTGATE BLVD STE112
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City | AUSTIN
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State | TX
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Zip | 78745-1468
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Country | US
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Telephone | 512-334-2144
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Fax | 512-439-7371
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Authorized Official
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Title or Position | DIRECTOR OF ADDICTION MEDICINE
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Name | WILLIAM CHARLES NEMETH
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Credential | MD
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Telephone | 512-334-2144
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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 | F5318
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License Number State | TX
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