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NPI 1174567705

NPI 1174567705 : REUBEN WENCIS TOVAR M.D. : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1174567705
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    Entity Type          |    Individual 
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    Provider Name        |    REUBEN WENCIS TOVAR M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/15/2006
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    Last Update Date     |    11/12/2024
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Provider Practice Location Address
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    Address Line         |    7500 RIALTO BLVD SUITE 140
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78735
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    Country              |    US
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    Telephone            |    512-730-3058
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    Fax                  |    888-685-0677
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Provider Business Mailing Address
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    Address Line         |    7500 RIALTO BLVD SUITE 140
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78735
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    Country              |    US
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    Telephone            |    512-730-3058
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    Fax                  |    888-685-0677
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD15177
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    License Number State |    RI
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME114642
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    J9928
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    2022-00266
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    License Number State |    NC
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Taxonomy #5
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    J9928
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    License Number State |    TX
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Taxonomy #6
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    ME114642
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    License Number State |    FL
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Taxonomy #7
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    2022-00266
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    License Number State |    NC
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Taxonomy #8
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    M-14178
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    License Number State |    ID
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