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General NPI Number Information
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NPI Number | 1134575467
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Entity Type | Organization
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Legal Business Name | NATURAL BIO HEALTH
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 211 RANCH ROAD 620 S STE 220
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City | LAKEWAY
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State | TX
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Zip | 78734-3965
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Country | US
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Telephone | 512-266-6713
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Fax | 512-266-6714
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Provider Business Mailing Address
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Address Line | 211 RANCH ROAD 620 SOUTH STE 220
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City | AUSTIN
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State | TX
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Zip | 78734
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Country | US
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Telephone | 512-266-6713
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Fax | 512-266-6714
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Authorized Official
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Title or Position | BILLING/CREDENTIALING DIRECTOR
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Name | MS. KEISHA RENEE
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Credential |
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Telephone | 480-447-5736
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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 | E8227
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PA03770
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C8968
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License Number State | TX
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