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General NPI Number Information
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NPI Number | 1144294661
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Entity Type | Organization
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Legal Business Name | CENTRAL TEXAS PEDIATRIC ORTHOPEDICS AND SCOLIOSIS SURGERY PA
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 1301 BARBARA JORDAN BLVD SUITE 300
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City | AUSTIN
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State | TX
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Zip | 78723
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Country | US
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Telephone | 512-478-8116
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Fax | 512-478-9368
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Provider Business Mailing Address
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Address Line | 1301 BARBARA JORDAN BLVD SUITE 300
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City | AUSTIN
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State | TX
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Zip | 78723
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Country | US
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Telephone | 512-478-8116
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Fax | 512-478-9368
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Authorized Official
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Title or Position | SR. PARTNER AND OWNER
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Name | DR. JAY SHAPIRO
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Credential | MD
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Telephone | 512-478-8116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G8973
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | G8973
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License Number State | TX
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