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General NPI Number Information
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NPI Number | 1144289034
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Entity Type | Individual
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Provider Name | ERICA C. MOELLER MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 5701 W SLAUGHTER LN
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City | AUSTIN
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State | TX
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Zip | 78749-6527
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Country | US
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Telephone | 512-901-4031
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Fax | 512-334-2589
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Provider Business Mailing Address
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Address Line | 12221 N MOPAC EXPY
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City | AUSTIN
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State | TX
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Zip | 78758-2401
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Country | US
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Telephone | 512-901-4031
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Fax | 512-334-2589
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J8188
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License Number State | TX
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