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General NPI Number Information
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NPI Number | 1154515500
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Entity Type | Organization
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Legal Business Name | LONE STAR CIRCLE OF CARE
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2423 WILLIAMS DR STE 107
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City | GEORGETOWN
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State | TX
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Zip | 78628-3269
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Country | US
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Telephone | 877-800-5722
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Fax | 512-551-0163
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Provider Business Mailing Address
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Address Line | 2423 WILLIAMS DR STE 107
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City | GEORGETOWN
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State | TX
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Zip | 78628-3269
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Country | US
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Telephone | 877-800-5722
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Fax | 512-551-0163
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Authorized Official
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Title or Position | CEO
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Name | MS. RHONDA MUNDHENK
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Credential |
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Telephone | 512-868-1124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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